Specialized Disclosure Report (sd)
May 30 2017 - 5:15PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM SD
Specialized Disclosure Report
Tesla, Inc.
(Exact name of registrant as specified in its charter)
Delaware
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001-34756
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91-2197729
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(State or other jurisdiction of incorporation)
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(Commission File Number)
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(IRS Employer
Identification No.)
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3500 Deer Creek Road
Palo Alto, California 94304
(Address of principal executive offices, including zip code)
Philip L. Rothenberg
(650) 681-5000
(Name and telephone number, including area code, of the person to contact in connection with this report.)
Check the appropriate box to indicate the rule pursuant to which this form is being filed,
and provide the period to which the information in this form applies:
☒
Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2016.
Section 1 – Conflict Minerals Disclosure
Item 1.01
Conflict Minerals Disclosure and Report
This Conflict Minerals Report and more information regarding Tesla’s Conflict Minerals Policy is available at: https://www.tesla.com/about/legal
Item 1.02
Exhibit
Section 2 – Exhibits
Item 2.01
Exhibits
Exhibit 1.01 – Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
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TESLA, INC.
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By:
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/s/ Liam O’Connor
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Liam O’Connor
Vice President, Global Supply Management
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Date: May 30, 2017
EXHIBIT INDEX
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Exhibit No.
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Description
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1.01
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Tesla, Inc. Conflict Minerals Report for the reporting period January 1 to December 31, 2016
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