SEC Form 4 · accession 0001494730-16-000007

Tesla, Inc. · TSLA

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — CEO · Director · 10% Owner

Period of report

May 19, 2016

Accepted (ET)

May 23, 2016 · 6:08 pm EDT

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 Stock^F2	May 19, 2016	M	2,147,986	$6.63	A	31,727,328	I	by Trust
Common Stock^F2	May 19, 2016	M	3,355,986	$6.63	A	35,083,314	I	by Trust
Common Stock^F2	May 19, 2016	G	1,200,000	$0.00	D	33,883,314	I	by Trust

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	May 19, 2016	M	2,147,986	D	Dec 4, 2009	Dec 3, 2016	Common Stock	2,147,986	3,355,986	D
Non-Qualified Stock Option (right to buy)	$6.63	May 19, 2016	M	3,355,986	D	Dec 4, 2009	Dec 3, 2016	Common Stock	3,355,986	0	D

F1The reporting person exercised stock options to purchase an aggregate of 5,503,972 shares of Tesla's common stock in a transaction exempt from Section 16(b) of the Securities Exchange Act of 1934. The reporting person intends to sell 2,782,670 of these shares in an underwritten registered offering solely in order to pay income tax related to these stock option exercises.
F2In connection with the transactions described in footnote 1, any issuer shares that continue to be held by the reporting person will be held indirectly by the Elon Musk Revocable Trust dated July 22, 2003, for which the reporting person is a trustee.
F3The reporting person gifted 1.2 million shares of Tesla's common stock to charity.