Guillen Jerome M Form 3 Tesla / Jerome M Guillen ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Guillen Jerome M

(Last) (First) (Middle)

C/O TESLA, INC

3500 DEER CREEK ROAD

(Street)

PALO ALTO CA 94304

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
09/26/2018

3. Issuer Name and Ticker or Trading Symbol
Tesla, Inc. [ TSLA ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
President, Automotive

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	7,598	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Incentive Stock Option (right to buy)	(1)	(1)	Common Stock	1,370	363.8	D
Incentive Stock Option (right to buy)	(2)	(2)	Common Stock	636	315.73	D
Non-Qualified Stock Option (right to buy)	(3)	(3)	Common Stock	38,250	139.34	D
Non-Qualified Stock Option (right to buy)	(4)	(4)	Common Stock	27,293	217.87	D
Non-Qualified Stock Option (right to buy)	(1)	(1)	Common Stock	7,754	363.8	D
Non-Qualified Stock Option (right to buy)	(5)	(5)	Common Stock	11,621	342.94	D
Non-Qualified Stock Option (right to buy)	(2)	(2)	Common Stock	44,364	315.73	D
Restricted Stock Unit	(6)	(6)	Common Stock	1,991	0.0	D
Restricted Stock Unit	(7)	(7)	Common Stock	2,664	0.0	D

Explanation of Responses:

1. 1/48th of the shares subject to the option became vested and exercisable on September 14, 2017, and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter.

2. 1/60th of the shares subject to the option became vested and exercisable on March 12, 2018, and 1/60th of the shares subject to the option shall become vested and exercisable each month thereafter.

3. 1/4th of the shares subject to the option vested and became exercisable on each of October 6, 2015, May 15, 2017, and July 30, 2017, and the remainder of the shares subject to the option shall become vested and exercisable with the attainment of meeting the remaining performance goal specified in the option agreement.

4. 1/4th of the shares subject to the option vested and became exercisable on January 15, 2018, and the remainder of the shares subject to the option shall become vested and exercisable with the attainment of meeting the remaining performance goals specified in the option agreement.

5. 1/3rd of the shares subject to the option shall become vested and exercisable upon meeting each of three performance goals specified in the option agreement.

6. 1/16th of the total restricted stock units initially subject to this award vested on September 5, 2016, and 1/16th of the total units initially subject to this award vest every three months thereafter.

7. 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.

	By: Aaron Beckman, Power of Attorney For: Jerome M. Guillen	10/03/2018
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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