SC 13G/A
SCHEDULE 13G/A
(Amendment No. 11)*
Under the Securities Exchange Act of 1934
Tesla, Inc.
(Name of Issuer)
Common Stock, $0.001 par value per share
(Title of Class of Securities)
88160R 101
(CUSIP Number)
December 31, 2021
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-l(b)
☐ Rule 13d-l(c)
☒ Rule 13d-l(d)
The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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.
CUSIP No. 88160R 101
Names of Reporting Persons.
Elon R. Musk
Check the Appropriate Box if a Member of a Group (See Instructions)
☐ (a) ☒ (b)
SEC Use Only
Citizenship or Place of Organization
United States
Sole Voting Power
231,715,206 (See Item 4(a) below)
Shared Voting Power
Sole Dispositive Power
Shared Dispositive Power
Aggregate Amount Beneficially Owned by Each Reporting Person
Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
Percent of Class Represented by Amount in Row (9)
21.2%
Type of Reporting Person (See Instructions)
IN
Page 2 of 5 pages
Name of Issuer:
Address of Issuers Principal Executive Offices:
13101 Tesla Road
Austin, TX 78725
Name of Person Filing:
Address of Principal Business Office or, if none, Residence
c/o Tesla, Inc., 13101 Tesla Road, Austin, TX 78725
Citizenship:
Title of Class of Securities:
CUSIP Number:
If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a:
Ownership.
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
Amount beneficially owned: 231,715,206 shares which includes (i) 172,608,251 shares of Common Stock held by the Elon Musk Revocable Trust dated July 22, 2003 and (ii) options to purchase 59,106,955 shares of Common Stock that are exercisable within 60 days of December 31, 2021.
Percent of class: 21.2% (percentage ownership is calculated based on 1,033,171,787 shares of Common Stock outstanding as of December 31, 2021 and assumes that the shares of Common Stock underlying the stock options are deemed outstanding pursuant to SEC Rule 13d-3(d)(1)(i)).
Page 3 of 5 pages
Number of shares as to which the person has:
Ownership of Five Percent or Less of a Class.
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ☐
Ownership of More than Five Percent on Behalf of Another Person.
Not applicable.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.
Identification and Classification of Members of the Group.
Notice of Dissolution of Group.
Certifications.
Page 4 of 5 pages
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Page 5 of 5 pages
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