0000899243-23-008177.txt : 20230310 0000899243-23-008177.hdr.sgml : 20230310 20230310191037 ACCESSION NUMBER: 0000899243-23-008177 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230310 DATE AS OF CHANGE: 20230310 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Musk Elon CENTRAL INDEX KEY: 0001494730 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 23725261 MAIL ADDRESS: STREET 1: C/O TESLA MOTORS, INC. STREET 2: 3500 DEER CREEK ROAD CITY: PALO ALTO STATE: CA ZIP: 94304 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 5/A 1 doc5a.xml FORM 5/A SUBMISSION X0306 5/A 2022-12-31 2023-02-14 0 0 0 0001318605 Tesla, Inc. TSLA 0001494730 Musk Elon C/O TESLA, INC. 1 TESLA ROAD AUSTIN TX 78725 1 1 1 0 CEO Common Stock 2022-08-12 5 G 0 920244 0.00 D 422702173 I By Trust Common Stock 2022-08-16 5 G 0 580119 0.00 D 422122054 I By Trust Common Stock 2022-09-20 5 G 0 950478 0.00 D 421171576 I By Trust Common Stock 2022-11-30 5 G 0 2020000 0.00 D 419151576 I By Trust Common Stock 2022-12-02 5 G 0 1000000 0.00 D 418151576 I By Trust Common Stock 2022-12-21 5 G 0 5000000 0.00 D 413151576 I By Trust Common Stock 2022-12-27 5 G 0 2100000 0.00 D 411051576 I By Trust Represents a bona fide gift of the Issuer's common stock by the Reporting Person to charity. This Form 5 is being amended to correct an administrative error, in which the 306,748 shares previously reported had not been stock-split adjusted. As a result, the number of shares beneficially owned by the Reporting Person following the corrected transaction reflects a reduction in the number of shares reported as beneficially owned by the Reporting Person. This Form 5 is being amended to correct an administrative error, which overreported the amount of securities owned by the Reporting Person by 15 shares. As a result, the number of shares beneficially owned by the Reporting Person reflects a reduction in the number of shares reported as beneficially owned by the Reporting Person. This Form 5 is being amended to correct an administrative error, in which the 193,373 shares previously reported had not been stock-split adjusted. As a result, the number of shares beneficially owned by the Reporting Person following the corrected transaction reflects a reduction in the number of shares reported as beneficially owned by the Reporting Person. This Form 5 is being amended as explained in footnotes (2) through (4). By: Aaron Beckman by Power of Attorney For: Elon Musk 2023-03-10