SEC Form 4 · accession 0001494730-17-000002
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
Apr 21, 2017
Accepted (ET)
Apr 25, 2017 · 8:27 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 StockF1 | Apr 21, 2017 | C | 33,333 | $300.00 | A | 33,632,421 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Zero Coupon Convertible Senior Notes due 2020F1 | $300.00 | Apr 21, 2017 | C | 10,000,000 | D | Nov 21, 2016 | Dec 1, 2020 | Common Stock | 10,000,000 | 0 | I |
Explanation of responses
- F1The number denoted represents $10,000,000 of the Zero Coupon Senior Notes due 2020 of SolarCity Corporation (the "Notes"), of which the reporting person acquired $10,000,000 in principal amount on December 7, 2015. In accordance with the terms of such Notes, the reporting person converted $10,000,000 of the Notes into 33,333 shares of Tesla common stock at a conversion price of $300.00 per share.