SEC Form 4 · accession 0001494730-16-000004
Tesla, Inc. · TSLA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Elon Musk
Officer — CEO · Director · 10% Owner
Period of report
Jan 27, 2016
Accepted (ET)
Jan 29, 2016 · 5:26 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001318605
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Jan 27, 2016 | M | 532,000 | $6.63 | A | 28,903,342 | I | by Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy) | $6.63 | Jan 27, 2016 | M | 532,000 | D | Dec 4, 2009 | Dec 3, 2016 | Common Stock | 532,000 | 2,823,986 | D |
Explanation of responses
- F1The reporting person exercised stock options to purchase 532,000 shares of Tesla's common stock in a transaction exempt from Section 16(b) of the Securities Exchange Act of 1934. There are no sales of Tesla's common stock by the reporting person in connection with this transaction.
- F2The reported securities are held by The Elon Musk Revocable Trust dated July 22, 2003, for which the reporting person is a trustee.