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0\colno7\colw1773\pard\li93\ri0\sl-186\slmult0 \fs18\cf2\f0\charscalex100 {Common
Stock}\par\column\pard\li0\ri0\sl-186\slmult0 \fs18\cf2\f0\charscalex100
{11/21/2016}\par\column\pard\li0\ri0\sl-226\slmult0 \fs18\cf2\f0\charscalex100\ul
{{\field{\*\fldinst{HYPERLINK "http://document.secdatabase.com/Form_4"}}{\fldrslt
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\*\tx1080\fs18\cf2\f0\charscalex100 {17,492}{ }\fs16\cf2\f0\charscalex100\ul
{{\field{\*\fldinst{HYPERLINK "#3"}}{\fldrslt {(2}}})}\ul0 \tab
\fs18\cf2\f0\charscalex100 {A $ 0}\par\column\pard\li0\ri0\sl-186\slmult0
\fs18\cf2\f0\charscalex100 {225,506}\par\column\pard\li0\ri0\sl-186\slmult0
\fs18\cf2\f0\charscalex100 {I}\par\column\pard\li0\ri0\sl-293\slmult0
\fs18\cf2\f0\charscalex100 {Fund}{ }\fs16\cf2\f0\charscalex100\ul
{({\field{\*\fldinst{HYPERLINK "#3"}}{\fldrslt {3)}}}}\ul0
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333\slmult0 \fs16\cf2\f0\charscalex100 {Common Stock}\par\column\pard\li0\ri0\sl-
360\slmult0 \fs18\cf2\f0\charscalex100 {11/21/2016}\par\column\pard\li0\ri0\sl-
360\slmult0 \fs18\cf2\f0\charscalex100\ul {{\field{\*\fldinst{HYPERLINK
"http://document.secdatabase.com/Form_4"}}{\fldrslt {A}}}}\ul0 {\super
\fs16\up2\cf2\f0\charscalex100\ul {({\field{\*\fldinst{HYPERLINK "#3"}}{\fldrslt
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{4,253}{\super \fs16\up2\cf2\f0\charscalex100\ul {({\field{\*\fldinst{HYPERLINK
"#3"}}{\fldrslt {4}}})}\ul0 }\fs16\cf2\f0\charscalex100 {A $
0}\par\column\pard\li0\ri0\sl-360\slmult0 \fs18\cf2\f0\charscalex100
{50,886}\par\column\pard\li0\ri0\sl-360\slmult0 \*\tx440\fs18\cf2\f0\charscalex100
{I}\tab \fs18\cf2\f0\charscalex100 {by VEP II}{\super
\fs16\up2\cf2\f0\charscalex100\ul {({\field{\*\fldinst{HYPERLINK "#3"}}{\fldrslt
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0\colno7\colw1146\pard\li93\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li93\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li93\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li93\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li93\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li93\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100
{1. Title of}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100
{2.}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100
{3.}\par\column\pard\li13\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li13\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li13\ri0\sl-386\slmult0 \fs18\cf0\f0\charscalex100\b
{Table II - Derivative Securities Acquired, Disposed of, or Beneficially
Owned}\b0 \par\pard\li720\ri0\sl-200\slmult0 \fs18\cf0\f0\charscalex100\b {(}\b0
\fs18\cf0\f0\charscalex100\b \i {e.g.}\b0 \i0 \fs18\cf0\f0\charscalex100\b {, puts,
calls, warrants, options, convertible securities)}\b0 \par\pard\li0\ri0\sl-
213\slmult0 \*\tx666\*\tx1453\*\tx2466\*\tx4200\*\tx5493\fs14\cf0\f1\charscalex100
{3A.}\tab \fs14\cf0\f1\charscalex100 {4.}\tab \fs12\cf0\f1\charscalex100 {5. Number
of}\tab \fs12\cf0\f1\charscalex100 {6. Date Exercisable and}\tab
\fs12\cf0\f1\charscalex100 {7. Title and Amount}\tab \fs14\cf0\f1\charscalex100 {8.
Price}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100 {9. Number
of}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100
{10.}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100 {11.
Nature}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133
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0\colno7\colw680\colsr-0\colno8\colw933\colsr-0\colno9\colw1880\pard\li93\ri0\sl-
160\slmult0 \fs14\cf0\f1\charscalex100 {Derivative}\par\column\pard\li0\ri0\sl-
160\slmult0 \*\tx760\fs12\cf0\f1\charscalex100 {Conversion}\tab
\fs12\cf0\f1\charscalex100 {Transaction}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Deemed}\par\column\pard\li0\ri0\sl-160\slmult0
\*\tx786\fs12\cf0\f1\charscalex100 {Transaction}\tab \fs14\cf0\f1\charscalex100
{Derivative}\par\column\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100
{Expiration Date (Month/}\par\column\pard\li0\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {of Securities}\par\column\pard\li0\ri0\sl-
160\slmult0 \fs14\cf0\f1\charscalex100 {of}\par\column\pard\li0\ri0\sl-
160\slmult0 \fs14\cf0\f1\charscalex100 {Derivative}\par\column\pard\li0\ri0\sl-
160\slmult0 \*\tx733\fs12\cf0\f1\charscalex100 {Ownership}\tab
\fs12\cf0\f1\charscalex100 {of
Indirect}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn1
33\cols8\colno1\colw826\colsr-0\colno2\colw3080\colsr-0\colno3\colw1013\colsr-
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0\colno7\colw733\colsr-0\colno8\colw1146\pard\li93\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Security}\par\column\pard\li0\ri0\sl-160\slmult0
\*\tx760\*\tx1626\*\tx2293\fs12\cf0\f1\charscalex100 {or Exercise}\tab
\fs14\cf0\f1\charscalex100 {Date (Month/}\tab \fs14\cf0\f1\charscalex100
{Execution}\tab \fs14\cf0\f1\charscalex100 {Code}\par\column\pard\li0\ri0\sl-
160\slmult0 \fs12\cf0\f1\charscalex100 {Securities}\par\column\pard\li0\ri0\sl-
160\slmult0 \fs12\cf0\f1\charscalex100 {Day/Year)}\par\column\pard\li0\ri0\sl-
160\slmult0 \fs14\cf0\f1\charscalex100 {Underlying}\par\column\pard\li0\ri0\sl-
160\slmult0 \*\tx680\fs14\cf0\f1\charscalex100 {Derivative}\tab
\fs12\cf0\f1\charscalex100 {Securities}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Form of}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100
{Beneficial}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrs
xn133\cols11\colno1\colw826\colsr-0\colno2\colw760\colsr-0\colno3\colw866\colsr-
0\colno4\colw666\colsr-0\colno5\colw786\colsr-0\colno6\colw2746\colsr-
0\colno7\colw1293\colsr-0\colno8\colw680\colsr-0\colno9\colw933\colsr-
0\colno10\colw733\colsr-0\colno11\colw1146\pard\li93\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {(Instr. 3)}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Price of}\par\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Derivative}\par\pard\li0\ri0\sl-146\slmult0
\fs14\cf0\f1\charscalex100 {Security}\par\column\pard\li0\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {Day/Year)}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Date, if}\par\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {any}\par\pard\li0\ri0\sl-146\slmult0
\fs14\cf0\f1\charscalex100 {(Month/}\par\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Day/}\par\column\pard\li0\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {(Instr. 8)}\par\column\pard\li0\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {Acquired (A) or}\par\pard\li0\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {Disposed of (D)}\par\pard\li0\ri0\sl-146\slmult0
\fs12\cf0\f1\charscalex100 {(Instr. 3, 4, and}\par\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {5)}\par\column\pard\li0\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {Derivative Security}\par\pard\li0\ri0\sl-
160\slmult0 \fs12\cf0\f1\charscalex100 {(Instr. 3 and
4)}\par\column\pard\li0\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100
{Security}\par\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100 {(Instr.
5)}\par\column\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100
{Beneficially}\par\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100
{Owned}\par\pard\li0\ri0\sl-146\slmult0 \fs14\cf0\f1\charscalex100
{Following}\par\pard\li0\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100
{Reported}\par\column\pard\li0\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100
{Derivative}\par\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100
{Security:}\par\pard\li0\ri0\sl-146\slmult0 \fs14\cf0\f1\charscalex100 {Direct
(D)}\par\pard\li0\ri0\sl-160\slmult0 \fs14\cf0\f1\charscalex100 {or
Indirect}\par\column\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100
{Ownership}\par\pard\li0\ri0\sl-160\slmult0 \fs12\cf0\f1\charscalex100 {(Instr.
4)}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\col
s5\colno1\colw4920\colsr-0\colno2\colw866\colsr-0\colno3\colw1600\colsr-
0\colno4\colw1240\colsr-0\colno5\colw2813\pard\li2453\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {Year)}\par\column\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-306\slmult0
\fs14\cf0\f1\charscalex100 {Date}\par\column\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-306\slmult0
\fs14\cf0\f1\charscalex100 {Expiration}\par\column\pard\li0\ri0\sl-253\slmult0
\fs14\cf0\f1\charscalex100 {Amount}\par\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {or}\par\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Number}\par\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {of}\par\column\pard\li0\ri0\sl-160\slmult0
\*\tx933\fs12\cf0\f1\charscalex100 {Transaction(s)}\tab \fs14\cf0\f1\charscalex100
{(I) (Instr.}\par\pard\li0\ri0\sl-160\slmult0 \*\tx933\fs12\cf0\f1\charscalex100
{(Instr. 4)}\tab \fs14\cf0\f1\charscalex100
{4)}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\co
ls7\colno1\colw3120\colsr-0\colno2\colw1466\colsr-0\colno3\colw333\colsr-
0\colno4\colw866\colsr-0\colno5\colw866\colsr-0\colno6\colw733\colsr-
0\colno7\colw4053\pard\li93\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li93\ri0\sl-
240\slmult0 \fs18\cf2\f0\charscalex100 {Non-}\par\pard\li93\ri0\sl-200\slmult0
\fs18\cf2\f0\charscalex100 {Qualified}\par\column\pard\li0\ri0\sl-160\slmult0
\*\tx480\*\tx786\fs14\cf0\f1\charscalex100 {Code}\tab \fs14\cf0\f1\charscalex100
{V}\tab \fs14\cf0\f1\charscalex100 {(A)}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {(D)}\par\column\pard\li0\ri0\sl-160\slmult0
\fs12\cf0\f1\charscalex100 {Exercisable}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Date}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100 {Title}\par\column\pard\li0\ri0\sl-160\slmult0
\fs14\cf0\f1\charscalex100
{Shares}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn13
3\cols6\colno1\colw880\colsr-0\colno2\colw2266\colsr-0\colno3\colw1773\colsr-
0\colno4\colw3933\colsr-0\colno5\colw960\colsr-0\colno6\colw1626\pard\li93\ri0\sl-
213\slmult0 \fs18\cf2\f0\charscalex100 {Stock}\par\pard\li93\ri0\sl-200\slmult0
\fs18\cf2\f0\charscalex100 {Option}\par\pard\li93\ri0\sl-200\slmult0
\fs18\cf2\f0\charscalex100 {(right to}\par\pard\li93\ri0\sl-200\slmult0
\fs18\cf2\f0\charscalex100 {buy)}\par\column\pard\li0\ri0\sl-333\slmult0
\fs18\cf2\f0\charscalex100 {$568.28 11/21/2016}\par\column\pard\li0\ri0\sl-
333\slmult0 \fs18\cf2\f0\charscalex100\ul {{\field{\*\fldinst{HYPERLINK
"http://document.secdatabase.com/Form_4"}}{\fldrslt {A}}}}\ul0 {\super
\fs16\up2\cf2\f0\charscalex100\ul {({\field{\*\fldinst{HYPERLINK "#3"}}{\fldrslt
{1)}}}}\ul0 }\fs18\cf2\f0\charscalex100 {3,300}{\super
\fs16\up2\cf2\f0\charscalex100\ul {({\field{\*\fldinst{HYPERLINK "#3"}}{\fldrslt
{6)}}}}\ul0 }\par\column\pard\li0\ri0\sl-333\slmult0
\*\tx1733\fs18\cf2\f0\charscalex100 {11/21/2016 12/21/2016}\tab
\fs18\cf2\f0\charscalex100 {Common}\par\pard\li1733\ri0\sl-266\slmult0
\*\tx2506\*\tx3213\fs18\cf2\f0\charscalex100 {Stock}\tab \fs18\cf2\f0\charscalex100
{3,300}\tab \fs18\cf2\f0\charscalex100 {$ 0}\par\column\pard\li0\ri0\sl-333\slmult0
\fs18\cf2\f0\charscalex100 {3,300}\par\column\pard\li0\ri0\sl-333\slmult0
\fs18\cf2\f0\charscalex100
{D}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\col
s2\colno1\colw3680\colsr-0\colno2\colw7760\pard\li26\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li26\ri0\sl-320\slmult0 \fs18\cf0\f0\charscalex100\b
{Explanation of Responses:}\b0 \par\column\pard\li53\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li53\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li53\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li53\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li53\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li53\ri0\sl-
293\slmult0 \fs12\cf0\f1\charscalex100 {Copyright 2013}
{ }\fs12\cf2\f1\charscalex100\ul {{\field{\*\fldinst{HYPERLINK
"http://www.secdatabase.com"}}{\fldrslt {www.secdatabase.com}}}}\ul0
\fs12\cf0\f1\charscalex100 {. All Rights Reserved.}\par\pard\li0\ri0\sl-146\slmult0
\fs12\cf3\f1\charscalex100 {Please Consider the Environment Before Printing This
Document}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn1
33\pard\sect\sectd\sbkpage\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\margtsxn
666\margbsxn53\pard\li80\ri0\sl-373\slmult0 \fs18\cf3\f0\charscalex100\b {1.}\b0
{ }\fs16\cf3\f0\charscalex100 {The transactions reported on this Form 4 are exempt
from Section 16(b) of the Securities Exchange Act of 1934 pursuant to Rule 16b-3
promulgated under}\par\pard\li280\ri0\sl-200\slmult0 \fs18\cf3\f0\charscalex100
{the Exchange Act.}\par\pard\li80\ri0\sl-293\slmult0 \fs18\cf3\f0\charscalex100\b
{2.}\b0 { }\fs16\cf3\f0\charscalex100 {Received in exchange for 159,023 shares of
SolarCity Corporation's common stock in connection with the acquisition of
SolarCity by Tesla Motors, Inc. (the}\par\pard\li280\ri0\sl-200\slmult0
\fs16\cf3\f0\charscalex100 {"Merger"). In accordance with the terms of the Merger,
each share of SolarCity common stock was converted into the right to receive 0.110
shares of Tesla}\par\pard\li280\ri0\sl-200\slmult0 \fs16\cf3\f0\charscalex100
{common stock, with cash paid in lieu of fractional shares. At the effective time
of the Merger, the last traded price of SolarCity's common stock was
$20.34}\par\pard\li280\ri0\sl-200\slmult0 \fs16\cf3\f0\charscalex100 {per share,
and the last traded price of Tesla's common stock was $185.02 per
share.}\par\pard\li80\ri0\sl-293\slmult0 \fs18\cf3\f0\charscalex100\b {3.}\b0
{ }\fs16\cf3\f0\charscalex100 {The reporting person indirectly beneficially owns a
total of 225,506 shares owned through AJG Growth Fund LLC ("AJG Growth
Fund").}\par\pard\li80\ri0\sl-280\slmult0 \fs18\cf3\f0\charscalex100\b {4.}\b0
{ }\fs16\cf3\f0\charscalex100 {Received in exchange for 38,665 shares of SolarCity
Corporation's common stock in connection with the Merger. In accordance with the
terms of the}\par\pard\li280\ri0\sl-200\slmult0 \fs16\cf3\f0\charscalex100 {Merger,
each share of SolarCity common stock was converted into the right to receive 0.110
shares of Tesla common stock, with cash paid in lieu of}\par\pard\li280\ri0\sl-
213\slmult0 \fs16\cf3\f0\charscalex100 {fractional shares. At the effective time of
the Merger, the last traded price of SolarCity's common stock was $20.34 per share,
and the last traded price of}\par\pard\li280\ri0\sl-200\slmult0
\fs16\cf3\f0\charscalex100 {Tesla's common stock was $185.02 per
share.}\par\pard\li80\ri0\sl-280\slmult0 \fs18\cf3\f0\charscalex100\b {5.}\b0
{ }\fs16\cf3\f0\charscalex100 {The reporting person indirectly beneficially owns a
total of 50,886 shares owned through Valor Equity Management II, LP ("VEP
II").}\par\pard\li80\ri0\sl-293\slmult0 \fs18\cf3\f0\charscalex100\b {6.}\b0
{ }\fs16\cf3\f0\charscalex100 {Received in the Merger in exchange for an employee
stock option to acquire 30,000 shares of SolarCity common stock for $62.51 per
share. In accordance}\par\pard\li280\ri0\sl-200\slmult0 \fs16\cf3\f0\charscalex100
{with the terms of the Merger, each SolarCity stock option that was outstanding
immediately prior to the effective time of the merger was
converted}\par\pard\li280\ri0\sl-200\slmult0 \fs16\cf3\f0\charscalex100
{automatically into a stock option to purchase Tesla common
stock.}\par\pard\li2800\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li2800\ri0\sl-
333\slmult0 \fs18\cf0\f0\charscalex100\b {Signatures}\b0
\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\cols2\
colno1\colw9866\colsr-0\colno2\colw1573\pard\li2800\ri0\sl-293\slmult0
\fs16\cf2\f0\charscalex100\ul {By: Jonathan Chang by Power of Attorney For: Antonio
J. Gracias}\ul0 \par\pard\li2800\ri0\sl-240\slmult0 \fs18\cf0\f1\charscalex100 {**
Signature of Reporting Person}\par\pard\li66\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li66\ri0\sl-306\slmult0 \fs16\cf0\f1\charscalex100 {Reminder:
Report on a separate line for each class of securities beneficially owned directly
or indirectly.}\par\pard\li66\ri0\sl-240\slmult0 \fs16\cf0\f1\charscalex100 {* If
the form is filed by more than one reporting person,}
{ }\fs18\cf0\f0\charscalex100\i {see}\i0 { }\fs18\cf0\f1\charscalex100 {Instruction
4 (b)(v).}\par\pard\li66\ri0\sl-226\slmult0 \fs16\cf0\f1\charscalex100 {**
Intentional misstatements or omissions of facts constitute Federal Criminal
Violations}{ }\fs18\cf0\f0\charscalex100\i {See}\i0 { }\fs16\cf0\f1\charscalex100
{18 U.S.C. 1001 and 15 U.S.C. 78ff(a).}\par\pard\li66\ri0\sl-226\slmult0
\fs16\cf0\f1\charscalex100 {Note: File three copies of this Form, one of which must
be manually signed. If space is insufficient,}{ }\fs18\cf0\f0\charscalex100\i
{see}\i0
{ }\fs18\cf0\f1\charscalex100 {Instruction 6 for
procedure.}\par\column\pard\li0\ri0\sl-280\slmult0 \fs18\cf2\f0\charscalex100\ul
{11/23/2016}\ul0 \par\pard\li0\ri0\sl-253\slmult0 \fs18\cf0\f1\charscalex100
{Date}\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\
pard\li66\ri0\sl-240\slmult0 \fs18\cf0\f0\charscalex100\b {Persons who respond to
the collection of information contained in this form are not required to respond
unless the form displays a}\b0 \par\pard\li66\ri0\sl-200\slmult0
\fs18\cf0\f0\charscalex100\b {currently valid OMB Number.}\b0
\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li3733\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li3733\ri0\sl-306\slmult0 \fs12\cf0\f1\charscalex100 {Copyright
2013}{ }\fs12\cf2\f1\charscalex100\ul {{\field{\*\fldinst{HYPERLINK
"http://www.secdatabase.com"}}{\fldrslt {www.secdatabase.com}}}}\ul0
\fs12\cf0\f1\charscalex100 {. All Rights Reserved.}\par\pard\li3680\ri0\sl-
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