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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
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| 1. Name and Address of Reporting Person * Zuckerberg Mark | 2. Issuer Name and Ticker or Trading Symbol Facebook Inc [ FB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner __X__ Officer (give title below) _____ Other (specify below) COB and CEO |
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3. Date of Earliest Transaction
(MM/DD/YYYY)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. Code (Instr. 8) |
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Class A Common Stock | 10/18/2021 | C | 56000 | A | $0 | 56000 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 1519 | D | $328.2110 (3) | 54481 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 7112 | D | $329.2490 (4) | 47369 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 3831 | D | $330.1667 (5) | 43538 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 5075 | D | $331.3117 (6) | 38463 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 5802 | D | $332.3638 (7) | 32661 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 3104 | D | $333.5679 (8) | 29557 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 18576 | D | $334.4553 (9) | 10981 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(2) | 10981 | D | $335.2762 (10) | 0 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 401 | D | $328.1015 (12) | 787385 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 424 | D | $329.1222 (14) | 786961 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 1645 | D | $330.3180 (15) | 785316 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 1716 | D | $331.4475 (16) | 783600 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 1700 | D | $332.4563 (17) | 781900 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 4045 | D | $334.1932 (18) | 777855 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 4720 | D | $335.0624 (19) | 773135 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | S(11) | 349 | D | $335.5683 (20) | 772786 | I | By Chan Zuckerberg Initiative Foundation (13) | ||
| Class A Common Stock | 10/18/2021 | C | 6300 | A | $0 | 6300 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
| Class A Common Stock | 10/18/2021 | S(22) | 847 | D | $329.4079 (23) | 5453 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
| Class A Common Stock | 10/18/2021 | S(22) | 515 | D | $330.2488 (24) | 4938 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
| Class A Common Stock | 10/18/2021 | S(22) | 702 | D | $331.5934 (25) | 4236 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
| Class A Common Stock | 10/18/2021 | S(22) | 471 | D | $332.7719 (26) | 3765 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
| Class A Common Stock | 10/18/2021 | S(22) | 1869 | D | $334.1555 (27) | 1896 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
| Class A Common Stock | 10/18/2021 | S(22) | 1793 | D | $335.1586 (28) | 103 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
| Class A Common Stock | 10/18/2021 | S(22) | 103 | D | $335.6196 (29) | 0 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | ||
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
| 1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Class B Common Stock (30) | (30) | 10/18/2021 | C | 56000 | (30) | (30) | Class A Common Stock | 56000 | $0 | 345529657 | I | By CZI Holdings, LLC (1) | |||
| Class B Common Stock (30) | (30) | 10/18/2021 | C | 6300 | (30) | (30) | Class A Common Stock | 6300 | $0 | 4472417 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (21) | |||
| Class B Common Stock (30) | (30) | (30) | (30) | Class A Common Stock | 1908602 | 1908602 | I | By Chan Zuckerberg Initiative Foundation (13) | |||||||
| Reporting Owners | |||||
| Reporting Owner Name / Address | |||||
| Director | 10% Owner | Officer | Other | ||
| Zuckerberg Mark C/O FACEBOOK, INC. 1601 WILLOW ROAD MENLO PARK, CA 94025 | X | X | COB and CEO | ||
| Signatures | ||
| /s/ Michael Johnson, attorney-in-fact for Mark Zuckerberg | 10/20/2021 | |
| **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 4(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. | |