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
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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 |
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 | 6/9/2017 | C | 65366 | A | $0 | 65366 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 1000 | D | $147.706 (3) | 64366 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 6293 | D | $148.8848 (4) | 58073 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 8172 | D | $149.8888 (5) | 49901 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 4110 | D | $150.8109 (6) | 45791 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 3457 | D | $151.9094 (7) | 42334 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 3600 | D | $152.7933 (8) | 38734 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 10009 | D | $154.1378 (9) | 28725 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 27325 | D | $154.9786 (10) | 1400 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | S (2) | 1400 | D | $155.5186 (11) | 0 | I | By Chan Zuckerberg Foundation (1) | ||
Class A Common Stock | 6/9/2017 | C | 40832 | A | $0 | 40832 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 1600 | D | $148.1025 (13) | 39232 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 3910 | D | $149.1653 (14) | 35322 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 4875 | D | $150.13 (15) | 30447 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 1986 | D | $151.4067 (16) | 28461 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 3256 | D | $152.4988 (17) | 25205 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 1904 | D | $153.4036 (18) | 23301 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 16801 | D | $154.6629 (19) | 6500 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (2) | 6500 | D | $155.3617 (20) | 0 | I | By CZI Holdings, LLC (12) | ||
Class A Common Stock | 6/9/2017 | S (21) | 700 | D | $148.2536 (22) | 876238 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 6/9/2017 | S (21) | 1563 | D | $149.2228 (24) | 874675 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 6/9/2017 | S (21) | 1355 | D | $150.0335 (25) | 873320 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 6/9/2017 | S (21) | 1200 | D | $151.1358 (26) | 872120 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 6/9/2017 | S (21) | 1200 | D | $152.4733 (27) | 870920 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 6/9/2017 | S (21) | 700 | D | $153.4114 (28) | 870220 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 6/9/2017 | S (21) | 5805 | D | $154.5926 (29) | 864415 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 6/9/2017 | S (21) | 3800 | D | $155.3673 (30) | 860615 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 2 Dated 5/8/2014 (23) | ||
Class A Common Stock | 468566 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (31) | |||||||
Class A Common Stock | 973364 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg 2014 GRAT No. 3 Dated 5/8/2014 (32) |
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 | ||||||||
Class B Common Stock (33) | (33) | 6/9/2017 | C | 65366 | (33) | (33) | Class A Common Stock | 65366 | $0 | 3333646 | I | By Chan Zuckerberg Foundation (1) | |||
Class B Common Stock (33) | (33) | 6/9/2017 | C | 40832 | (33) | (33) | Class A Common Stock | 40832 | $0 | 401340684 | I | By CZI Holdings, LLC (12) | |||
Class B Common Stock (33) | (33) | (33) | (33) | Class A Common Stock | 5207492 | 5207492 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (31) |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
Zuckerberg Mark
C/O FACEBOOK, INC. 1601 WILLOW ROAD MENLO PARK, CA 94025 |
X | X | COB and CEO |
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Signatures
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/s/ Michael Johnson as attorney-in-fact for Mark Zuckerberg | 6/12/2017 | |
** 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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