Sec Form 4 Filing - Kirkhorn Zachary @ Tesla, Inc. - 2021-03-05

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Kirkhorn Zachary
2. Issuer Name and Ticker or Trading Symbol
Tesla, Inc. [ TSLA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Financial Officer
(Last) (First) (Middle)
C/O TESLA, INC., 3500 DEER CREEK ROAD
3. Date of Earliest Transaction (MM/DD/YY)
03/05/2021
(Street)
PALO ALTO, CA94304
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/05/2021 M( 1 ) 360 A $ 0 55,367 D
Common Stock 03/05/2021 M( 1 ) 312 A $ 0 55,679 D
Common Stock 03/05/2021 M( 1 ) 216 A $ 0 55,895 D
Common Stock 03/05/2021 M( 1 ) 907 A $ 0 56,802 D
Common Stock 03/05/2021 M( 1 ) 4,500 A $ 0 61,302 D
Common Stock 03/08/2021 S( 2 ) 2,818 D $ 595.08 58,484 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Unit $ 0 03/05/2021 M 360 ( 3 ) ( 3 ) Common Stock 360 $ 0 360 D
Restricted Stock Unit $ 0 03/05/2021 M 312 ( 4 ) ( 4 ) Common Stock 312 $ 0 624 D
Restricted Stock Unit $ 0 03/05/2021 M 216 ( 5 ) ( 5 ) Common Stock 216 $ 0 2,373 D
Restricted Stock Unit $ 0 03/05/2021 M 907 ( 5 ) ( 5 ) Common Stock 907 $ 0 9,983 D
Restricted Stock Unit $ 0 03/05/2021 M 4,500 ( 6 ) ( 6 ) Common Stock 4,500 $ 0 40,500 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Kirkhorn Zachary
C/O TESLA, INC.
3500 DEER CREEK ROAD
PALO ALTO, CA94304
Chief Financial Officer
Signatures
By: Aaron Beckman, Power of Attorney For: Zachary J. Kirkhorn 03/09/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Shares of the Issuer's common stock were issued to the reporting person upon the vesting of restricted stock units on March 5, 2021.
( 2 )PURSUANT TO THE ISSUER'S EQUITY PLAN AND POLICIES, THESE SHARES OF COMMON STOCK WERE AUTOMATICALLY WITHHELD AND SOLD BY THE ISSUER TO SATISFY THE REPORTING PERSON'S TAX WITHHOLDING OBLIGATIONS RELATED TO THE VESTING OF RESTRICTED STOCK UNITS REPORTED HEREIN.
( 3 )1/16th of the total restricted stock units initially subject to this award vested on September 5, 2017, and 1/16th of the total units initially subject to this award vest every three months thereafter, so that all such shares subject to this award will be fully vested as of June 5, 2021.
( 4 )1/16th of the total restricted stock units initially subject to this award vested on December 5, 2017, and 1/16th of the total units initially subject to this award vest every three months thereafter, so that all such shares subject to this award will be fully vested as of September 5, 2021.
( 5 )1/20th of the total restricted stock units initially subject to this award vested on March 5, 2019, and 1/20th of the total units initially subject to this award vest every three months thereafter, so that all such shares subject to this award will be fully vested as of December 5, 2023.
( 6 )1/8th of the total restricted stock units initially subject to this award vested on December 5, 2019, and 1/16th of the total units initially subject to this award vest every quarter thereafter, so that all such shares subject to this award will be fully vested on June 5, 2023.

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