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