Tesla Motors
Tesla, Inc. (Form: 3, Received: 03/13/2017 20:32:59)
FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Ahuja Deepak

2. Date of Event Requiring Statement (MM/DD/YYYY)
3/2/2017 

3. Issuer Name and Ticker or Trading Symbol

Tesla, Inc. [TSLA]

(Last)        (First)        (Middle)

C/O TESLA, INC, 3500 DEER CREEK ROAD

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

_____ Director                            _____ 10% Owner
___ X ___ Officer (give title below)          _____ Other (specify below)
Chief Financial Officer /

(Street)

PALO ALTO, CA 94304       

(City)              (State)              (Zip)
5. If Amendment, Date Original Filed (MM/DD/YYYY)

 

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   14874   D    
Common Stock   38989   I   Ahuja Family Trust  

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: 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) 2/13/2022   Common Stock   5035   $31.49   D    
Non-Qualified Stock Option (right to buy)     (2) 1/13/2024   Common Stock   33750   $139.34   D    

Explanation of Responses:
( 1)  1/48th of the shares subject to the option vested on each monthly anniversary of the grant date, so that all such shares became vested as of the fourth anniversary of the grant date.
( 2)  33,750 remaining shares of the 50,000 shares subject to the original option grant will become vested and exercisable upon the Issuer's achievement of certain performance objectives set forth in the option agreement.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Ahuja Deepak
C/O TESLA, INC
3500 DEER CREEK ROAD
PALO ALTO, CA 94304


Chief Financial Officer

Signatures
Deepak Ahuja 3/13/2017
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.