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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FISCHER DAVID B. |
2. Issuer Name
and
Ticker or Trading Symbol
Facebook Inc [ FB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __ X __ Officer (give title below) _____ Other (specify below) VP Bus. & Marketing P'ships |
C/O FACEBOOK, INC., 1601 WILLOW ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
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MENLO PARK, CA 94025 |
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 | 8/15/2018 | M | 15034 | A | $0 | 95294 (1) | D | |||
Class A Common Stock | 8/15/2018 | F | 7454 (2) | D | $181.11 | 87840 | D | |||
Class A Common Stock | 8/15/2018 | M | 6515 | A | $0 | 94355 | D | |||
Class A Common Stock | 8/15/2018 | F | 3231 (2) | D | $181.11 | 91124 | D | |||
Class A Common Stock | 8/15/2018 | M | 6190 | A | $0 | 97314 | D | |||
Class A Common Stock | 8/15/2018 | F | 3070 (2) | D | $181.11 | 94244 | D | |||
Class A Common Stock | 8/15/2018 | C | 18789 (3) | A | $0 | 113033 | D | |||
Class A Common Stock | 8/15/2018 | F | 9316 (2) | D | $181.11 | 103717 | 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 | ||||||||
Restricted Stock Units (RSU) (Class A) | (4) | 8/15/2018 | M | 15034 | (5) | 5/5/2023 | Class A Common Stock | 15034 | $0 | 15035 | D | ||||
Restricted Stock Units (RSU) (Class A) | (4) | 8/15/2018 | M | 6515 | (6) | 3/16/2024 | Class A Common Stock | 6515 | $0 | 32575 | D | ||||
Restricted Stock Units (RSU) (Class A) | (4) | 8/15/2018 | M | 6190 | (7) | 3/15/2025 | Class A Common Stock | 6190 | $0 | 61907 | D | ||||
Restricted Stock Unit (RSU) (Class B) | (8) | 8/15/2018 | M | 18789 | (9) | 5/2/2022 | Class B Common Stock (10) | 18789 | $0 | 18789 | D | ||||
Class B Common Stock (10) | (10) | 8/15/2018 | M | 18789 | (10) | (10) | Class A Common Stock | 18789 | $0 | 18789 | D | ||||
Class B Common Stock (10) | (10) | 8/15/2018 | C | 18789 (11) | (10) | (10) | Class A Common Stock | 18789 | $0 | 0 | D |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
FISCHER DAVID B.
C/O FACEBOOK, INC. 1601 WILLOW ROAD MENLO PARK, CA 94025 |
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VP Bus. & Marketing P'ships |
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Signatures
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/s/ Michael Johnson as attorney-in-fact for David Fischer | 8/17/2018 | |
** 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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