FORM 4
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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
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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
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2. Issuer Name
and
Ticker or Trading Symbol
Facebook Inc [ FB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __ X __ 10% Owner _____ Officer (give title below) _____ Other (specify below) |
24 DE CASTRO ST. WICKAMS CAY 1 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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TORTOLA, D8 |
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 | 5/22/2012 | C (3) | 2104467 | A | $0 | 27178393 | D | |||
Class A Common Stock | 5/22/2012 | S | 27178393 | D | $37.582 | 0 | D |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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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 | ||||||||
Series A Preferred Stock | (1) | 5/22/2012 | C | 17790052 | (1) | (1) | Class B Common Stock | 17790052 | $0 | 0 | D | ||||
Series E Preferred Stock | (1) | 5/22/2012 | C | 7507835 | (1) | (1) | Class B Common Stock | 7507835 | $0 | 0 | D | ||||
Class B Common Stock | (2) | 5/22/2012 | C | 25297887 (1) | (2) | (2) | Class A Common Stock | 25297887 (2) | $0 | 53063958 | D | ||||
Class B Common Stock | (2) | 5/22/2012 | C | 2104467 (2) | (2) | (2) | Class A Common Stock | 2104467 | $0 | 50959491 | D |
Remarks:
Due to the management agreement with DST Global Advisors Limited, DST USA II Limited ("DUSAII") was deemed to be part of a "group" with DST Global Advisors Limited and the other persons for whom DST Global Advisors Limited served as investment manager at the time of the closing of the initial public offering. Following Facebook, Inc.'s (the "Issuer") IPO, such management agreement became terminable. After the right to terminate arose, the shares of the Issuer beneficially owned by DUSAII are also beneficially owned by Epion Holdings Limited ("Epion") as the owner of a class of shares of DUSAII that would enable Epion to control the voting and disposition of the Issuer's shares held by DUSAII. The management agreement was terminated after the closing of the IPO. Epion also owns a 25.3% economic interest in Mail.ru Group Limited ("Mail.ru"). Because of its ownership of Class A shares of Mail.ru, which carry increased voting rights, Epion, according to Mail.ru, currently holds approximately 50.3% of the voting power of Mail.ru; Epion, however, is currently entitled to name 3 out of 10 members of the board of directors of Mail.ru. According to the Issuer's final prospectus relating to the IPO, Mail.ru beneficially owns 36,751,311 shares of Class B Common Stock of the Issuer after the closing of the IPO. |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
DST USA II Ltd
24 DE CASTRO ST. WICKAMS CAY 1 TORTOLA, D8 |
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Signatures
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/s/ Brett Armitage, director of DST USA II Limited | 5/24/2012 | |
** Signature of Reporting Person |
Date
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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. |
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