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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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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 |
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 | ||||||||||
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 | 9/23/2021 | C | 56000 | A | $0 | 56000 | I | By CZI Holdings, LLC (1) | ||
Class A Common Stock | 9/23/2021 | S(2) | 2712 | D | $343.6085 (3) | 53288 | I | By CZI Holdings, LLC (1) | ||
Class A Common Stock | 9/23/2021 | S(2) | 3552 | D | $344.9831 (4) | 49736 | I | By CZI Holdings, LLC (1) | ||
Class A Common Stock | 9/23/2021 | S(2) | 21246 | D | $345.9822 (5) | 28490 | I | By CZI Holdings, LLC (1) | ||
Class A Common Stock | 9/23/2021 | S(2) | 14410 | D | $346.7901 (6) | 14080 | I | By CZI Holdings, LLC (1) | ||
Class A Common Stock | 9/23/2021 | S(2) | 7424 | D | $347.7828 (7) | 6656 | I | By CZI Holdings, LLC (1) | ||
Class A Common Stock | 9/23/2021 | S(2) | 6656 | D | $348.8062 (8) | 0 | I | By CZI Holdings, LLC (1) | ||
Class A Common Stock | 9/23/2021 | S(9) | 566 | D | $343.6064 (10) | 1000280 | I | By Chan Zuckerberg Initiative Foundation (11) | ||
Class A Common Stock | 9/23/2021 | S(9) | 722 | D | $344.9134 (12) | 999558 | I | By Chan Zuckerberg Initiative Foundation (11) | ||
Class A Common Stock | 9/23/2021 | S(9) | 5864 | D | $345.9513 (13) | 993694 | I | By Chan Zuckerberg Initiative Foundation (11) | ||
Class A Common Stock | 9/23/2021 | S(9) | 3657 | D | $346.7466 (14) | 990037 | I | By Chan Zuckerberg Initiative Foundation (11) | ||
Class A Common Stock | 9/23/2021 | S(9) | 2394 | D | $347.7620 (15) | 987643 | I | By Chan Zuckerberg Initiative Foundation (11) | ||
Class A Common Stock | 9/23/2021 | S(9) | 1797 | D | $348.6724 (16) | 985846 | I | By Chan Zuckerberg Initiative Foundation (11) | ||
Class A Common Stock | 9/23/2021 | C | 6300 | A | $0 | 6300 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) | ||
Class A Common Stock | 9/23/2021 | S(18) | 400 | D | $343.7849 (19) | 5900 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) | ||
Class A Common Stock | 9/23/2021 | S(18) | 1431 | D | $345.5885 (20) | 4469 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) | ||
Class A Common Stock | 9/23/2021 | S(18) | 2646 | D | $346.4542 (21) | 1823 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) | ||
Class A Common Stock | 9/23/2021 | S(18) | 550 | D | $347.5365 (22) | 1273 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) | ||
Class A Common Stock | 9/23/2021 | S(18) | 894 | D | $348.4651 (23) | 379 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) | ||
Class A Common Stock | 9/23/2021 | S(18) | 379 | D | $349.2628 (24) | 0 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) |
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 (25) | (25) | 9/23/2021 | C | 56000 | (25) | (25) | Class A Common Stock | 56000 | $0 | 346397686 | I | By CZI Holdings, LLC (1) | |||
Class B Common Stock (25) | (25) | 9/23/2021 | C | 6300 | (25) | (25) | Class A Common Stock | 6300 | $0 | 4568036 | I | By Mark Zuckerberg, Trustee Of The Mark Zuckerberg Trust Dated July 7, 2006 (17) | |||
Class B Common Stock (25) | (25) | (25) | (25) | Class A Common Stock | 1908602 | 1908602 | I | By Chan Zuckerberg Initiative Foundation (11) |
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 | 9/27/2021 | |
**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. |