0001790565-22-000001.txt : 20220131 0001790565-22-000001.hdr.sgml : 20220131 20220131193705 ACCESSION NUMBER: 0001790565-22-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220127 FILED AS OF DATE: 20220131 DATE AS OF CHANGE: 20220131 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: 22576149 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 2022-01-27 0 0001318605 Tesla, Inc. TSLA 0001790565 Baglino Andrew D C/O TESLA, INC. 13101 HAROLD GREEN ROAD AUSTIN TX 78725 0 1 0 0 SVP Powertrain and Energy Eng. Common Stock 2022-01-27 4 M 0 3500 62.72 A 22749 D Common Stock 2022-01-27 4 S 0 3500 933.56 D 19249 D Non-Qualified Stock Option (right to buy) 62.72 2022-01-27 4 M 0 3500 0.0 D 2028-03-19 Common Stock 3500 58230 D The transactions reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on November 1, 2021. Represents part of a single option award grant, including Incentive Stock Options, initially for an aggregate 75,000 shares. 1/60th of the aggregate shares subject to the option became vested and exercisable on March 27, 2018 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 February 27, 2023. By: Aaron Beckman, Power of Attorney For: Andrew D. Baglino 2022-01-31