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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 | 9/15/2021 | C | 56000 | A | $0 | 56000 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 7809 | D | $368.4532 (3) | 48191 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 11300 | D | $369.0376 (4) | 36891 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 3200 | D | $370.3244 (5) | 33691 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 10821 | D | $371.2534 (6) | 22870 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 3970 | D | $372.2028 (7) | 18900 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 6100 | D | $373.4854 (8) | 12800 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 6800 | D | $374.3625 (9) | 6000 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 4800 | D | $375.1772 (10) | 1200 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 300 | D | $376.2833 (11) | 900 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(2) | 900 | D | $376.9900 (12) | 0 | I | By CZI Holdings, LLC (1) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 2800 | D | $368.4947 (14) | 1088046 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 2300 | D | $369.0985 (16) | 1085746 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 1050 | D | $370.3548 (17) | 1084696 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 2800 | D | $371.3147 (18) | 1081896 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 1000 | D | $372.2290 (19) | 1080896 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 1517 | D | $373.5308 (20) | 1079379 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 2200 | D | $374.5023 (21) | 1077179 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 933 | D | $375.2794 (22) | 1076246 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | S(13) | 400 | D | $377.00 | 1075846 | I | By Chan Zuckerberg Initiative Foundation (15) | ||
| Class A Common Stock | 9/15/2021 | C | 6300 | A | $0 | 6300 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 1970 | D | $368.7756 (25) | 4330 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 300 | D | $369.5998 (26) | 4030 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 1160 | D | $370.9843 (27) | 2870 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 710 | D | $371.9110 (28) | 2160 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 410 | D | $373.1315 (29) | 1750 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 813 | D | $374.0891 (30) | 937 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 680 | D | $375.0796 (31) | 257 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
| Class A Common Stock | 9/15/2021 | S(24) | 257 | D | $376.9398 (32) | 0 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | ||
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 (33) | (33) | 9/15/2021 | C | 56000 | (33) | (33) | Class A Common Stock | 56000 | $0 | 346733686 | I | By CZI Holdings, LLC (1) | |||
| Class B Common Stock (33) | (33) | 9/15/2021 | C | 6300 | (33) | (33) | Class A Common Stock | 6300 | $0 | 4605836 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (23) | |||
| Class B Common Stock (33) | (33) | (33) | (33) | Class A Common Stock | 1908602 | 1908602 | I | By Chan Zuckerberg Initiative Foundation (15) | |||||||
| 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 | 9/15/2021 | |
| **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. | |