0001127602-15-017889.txt : 20150519
0001127602-15-017889.hdr.sgml : 20150519
20150519194505
ACCESSION NUMBER: 0001127602-15-017889
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150515
FILED AS OF DATE: 20150519
DATE AS OF CHANGE: 20150519
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Facebook Inc
CENTRAL INDEX KEY: 0001326801
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 201665019
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1601 WILLOW ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-618-7714
MAIL ADDRESS:
STREET 1: 1601 WILLOW ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: THIEL PETER
CENTRAL INDEX KEY: 0001211060
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35551
FILM NUMBER: 15877974
BUSINESS ADDRESS:
STREET 1: 1 LETTERMAN DR.
STREET 2: BUILDING C, SUITE 400
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
BUSINESS PHONE: 415-248-5140
MAIL ADDRESS:
STREET 1: 1 LETTERMAN DR.
STREET 2: BUILDING C, SUITE 400
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94129
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-05-15
0001326801
Facebook Inc
FB
0001211060
THIEL PETER
C/O FACEBOOK, INC.
1601 WILLOW ROAD
MENLO PARK
CA
94025
1
Class A Common Stock
2015-05-15
4
M
0
4993
0
A
4993
D
Class A Common Stock
2015-05-15
5
G
0
E
4993
0
D
0
D
Class A Common Stock
2144066
I
By Rivendell One LLC
Restricted Stock Units (RSU) (Class A)
2015-05-15
4
M
0
4993
0
D
2024-05-14
Class A Common Stock
4993
0
D
The reporting person is the beneficial owner of Rivendell One LLC ("Rivendell"), and has sole voting and investment power over the securities held by Rivendell.
Each RSU represents a contingent right to receive 1 share of the Issuer's Class A Common Stock upon settlement.
The RSUs vested as to 100% of the total shares on May 15, 2015.
Michael Johnson as attorney-in-fact for Peter Thiel
2015-05-19