0001790565-21-000002.txt : 20210212 0001790565-21-000002.hdr.sgml : 20210212 20210212211033 ACCESSION NUMBER: 0001790565-21-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210210 FILED AS OF DATE: 20210212 DATE AS OF CHANGE: 20210212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Baglino Andrew D CENTRAL INDEX KEY: 0001790565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 21631515 MAIL ADDRESS: STREET 1: 3500 DEER CREEK ROAD CITY: FREMONT STATE: CA ZIP: 94538 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tesla, Inc. CENTRAL INDEX KEY: 0001318605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 912197729 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94304 BUSINESS PHONE: 650-681-5000 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94304 FORMER COMPANY: FORMER CONFORMED NAME: TESLA MOTORS INC DATE OF NAME CHANGE: 20050222 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2021-02-10 0 0001318605 Tesla, Inc. TSLA 0001790565 Baglino Andrew D C/O TESLA, INC. 3500 DEER CREEK ROAD PALO ALTO CA 94304 0 1 0 0 SVP Powertrain and Energy Eng. Common Stock 2021-02-10 4 M 0 4000 51.64 A 23226 D Common Stock 2021-02-10 4 S 0 4000 807.885 D 19226 D Non-Qualified Stock Option (right to buy) 51.64 2021-02-10 4 M 0 4000 0.0 D 2029-07-19 Common Stock 4000 199625 D Represents part of a single option award grant, including Incentive Stock Options, initially for an aggregate 210,560 shares. 1/60th of the aggregate shares subject to the option became vested and exercisable on July 24, 2019 and 1/60th of the shares subject to the option become vested and exercisable on each monthly anniversary thereafter, so that all such shares subject to this award will be fully vested on June 24, 2024. By: Aaron Beckman, Power of Attorney For: Andrew D. Baglino 2021-02-12