Tesla 2016 Annual Report Download - page 94

EXHIBIT A
TESLA MOTORS, INC.
2010 EMPLOYEE STOCK PURCHASE PLAN
SUBSCRIPTION AGREEMENT
1. I hereby elect to participate in the Tesla Motors, Inc. 2010 Employee Stock Purchase Plan (the “Plan”) and subscribe to purchase shares of the
Company’sCommonStockinaccordancewiththisSubscriptionAgreementandthePlan.
2.IherebyauthorizepayrolldeductionsfromeachpaycheckfollowingmyentryintothePlan,andhavedesignatedmyrateofpayrolldeductionat
________________(from1to15%ofmyCompensation),oneachpaydayduringtheOfferingPeriodinaccordancewiththePlan.(Pleasenotethatnofractional
percentagesarepermitted,)IunderstandthatsuchpayrolldeductionswillbeaccumulatedforthepurchaseofsharesofCommonStockattheapplicablePurchase
PricedeterminedinaccordancewiththePlan.IunderstandthatifIdonotwithdrawfromanOfferingPeriod,anyaccumulatedpayrolldeductionswillbeusedto
automaticallyexercisemyoptionandpurchaseCommonStockunderthePlan.
3.IhavereceivedandreadacopyofthePlandocumentandtheprospectusthatdescribesthePlan.IunderstandthatmyparticipationinthePlanisin
allrespectssubjecttothetermsofthePlan.
4.ForU.S.Taxpayers:IunderstandthatifIdisposeofanysharesreceivedbymepursuanttothePlanwithintwo(2)yearsaftertheOfferingDate
(thefirstdayoftheOfferingPeriodduringwhichIpurchasedsuchshares)orone(1)yearaftertheExerciseDate,Iwillbetreatedforfederalincometaxpurposes
ashavingreceivedordinaryincomeatthetimeofsuchdispositioninanamountequaltotheexcessofthefairmarketvalueofthesharesatthetimesuchshares
werepurchasedbymeoverthepricewhichIpaidfortheshares.IherebyagreetonotifytheCompanyinwritingwithinthirty(30)daysafterthedateof any
dispositionofmysharesandIwillmakeadequateprovisionforfederal,stateorothertaxwithholdingobligations,ifany,whichariseuponthedispositionofthe
Common Stock . The Company may, but will not be obligated to, withhold from my compensation the amount necessary to meet any applicable withholding
obligation including any withholding necessary to make available to the Company any tax deductions or benefits attributable to sale or early disposition of
CommonStockbyme.IfIdisposeofsuchsharesatanytimeaftertheexpirationofthetwo(2)-yearandone(1)-yearholdingperiods,IunderstandthatIwillbe
treatedforfederalincometaxpurposesashavingreceivedincomeonlyatthetimeofsuchdisposition,andthatsuchincomewillbetaxedasordinaryincomeonly
totheextentofanamountequaltothelesserof(a)theexcessofthefairmarketvalueofthesharesatthetimeofsuchdispositionoverthepurchasepricewhichI
paidfortheshares,or(b)fifteenpercent(15%)ofthefairmarketvalueofthesharesonthefirsttradingdayoftheOfferingPeriod.Theremainderofthegain,if
any,recognizedonsuchdispositionwillbetaxedascapitalgain.
5.IherebyagreetobeboundbythetermsofthePlan,including(butnotlimitedto)thepoweroftheAdministratorofthePlantointerpretthePlan,to
makealldeterminationsunderthePlanandtoamendorterminatethePlanatanytime.TheeffectivenessofthisSubscriptionAgreementisdependentuponmy
eligibilitytoparticipateinthePlan.

________________________________________
Name
________________________________________
EmployeeIDNumber(Required(6digits))
________________________________________
SocialSecurityNumber
________________________________________
Date