0001790565-19-000002.txt : 20191101 0001790565-19-000002.hdr.sgml : 20191101 20191101194815 ACCESSION NUMBER: 0001790565-19-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191030 FILED AS OF DATE: 20191101 DATE AS OF CHANGE: 20191101 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: 191188065 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 2019-10-30 0 0001318605 Tesla, Inc. TSLA 0001790565 Baglino Andrew D C/O TESLA, INC. 3500 DEER CREEK ROAD PALO ALTO CA 94304 0 1 0 0 SVP Powertrain and Energy Eng. Common Stock 2019-10-30 4 S 0 366 314.51 D 3288 D Common Stock 2019-10-30 4 M 0 2000 207.85 A 5288 D Common Stock 2019-10-30 4 S 0 2000 313.024 D 3288 D Non-Qualified Stock Option (right to buy) 207.85 2019-10-30 4 M 0 2000 0.0 D 2026-01-11 Common Stock 2000 7335 D Represents part of a single option award grant, including Incentive Stock Options, initially for an aggregate 26,479 shares. 1/48th of the aggregate shares subject to the option became vested and exercisable on February 11, 2016 and 1/48th of the shares subject to the option become vested and exercisable on each monthly anniversary thereafter. By: Aaron Beckman, Power of Attorney For: Andrew D. Baglino 2019-11-01