FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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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). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Facebook Inc [ FB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 10/15/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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 | 10/15/2015 | C | 11,371(1) | A | $0 | 592,000 | D | |||
Class A Common Stock | 10/15/2015 | C | 59,952(1) | A | $0 | 651,952 | D | |||
Class A Common Stock | 10/15/2015 | S | 5,934(2) | D | $95.4349(3) | 646,018 | D | |||
Class A Common Stock | 10/15/2015 | S | 31,283(2) | D | $95.8704(4) | 614,735 | D | |||
Class A Common Stock | 76,945 | I | By Christopher K. Cox Revocable Trust(5) | |||||||
Class A Common Stock | 28,816 | I | By Remainder Interest Trust Created Under The Christopher K. Cox 2009 Annuity Trust Dated 5/29/2009(6) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) | 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: 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 Unit (RSU) (Class B) | (7) | 10/15/2015 | M | 11,371 | (8) | 08/25/2019 | Class B Common Stock(9) | 11,371 | $0 | 250,154 | D | ||||
Class B Common Stock(9) | (9) | 10/15/2015 | M | 11,371 | (9) | (9) | Class A Common Stock | 11,371 | $0 | 11,371 | D | ||||
Class B Common Stock(9) | (9) | 10/15/2015 | C | 11,371(10) | (9) | (9) | Class A Common Stock | 11,371 | $0 | 0 | D | ||||
Restricted Stock Unit (RSU) (Class B) | (7) | 10/15/2015 | M | 59,952 | (11) | 03/24/2021 | Class B Common Stock(9) | 59,952 | $0 | 599,521 | D | ||||
Class B Common Stock(9) | (9) | 10/15/2015 | M | 59,952 | (9) | (9) | Class A Common Stock | 59,952 | $0 | 59,952 | D | ||||
Class B Common Stock(9) | (9) | 10/15/2015 | C | 59,952(10) | (9) | (9) | Class A Common Stock | 59,952 | $0 | 0 | D |
Explanation of Responses: |
1. Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock in connection with the settlement of the Restricted Stock Units ("RSUs") listed in Table II. |
2. Represents the number of shares required to be sold by the reporting person to cover tax withholding obligations in connection with the vesting of the RSUs listed in Table II. This sale is mandated by the Issuer's election under its equity incentive plans to require the satisfaction of tax withholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary trade by the reporting person. |
3. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $95.01 to $95.62 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (3). |
4. The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $95.62 to $96.15 per share, inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote (4). |
5. Shares held of record by Christopher Cox, Trustee of the Christopher K. Cox Revocable Trust. |
6. Shares held of record by Remainder Interest Trust Created under the Christopher K. Cox 2009 Annuity Trust dated 5/29/2009, Visra Vichit-Vadakan, Trustee, the beneficiaries of which include the reporting person's children. The reporting person's spouse is trustee of the trust. The reporting person disclaims beneficial ownership of these shares, and the filing of this report is not an admission that the reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose. |
7. Each RSU represents a contingent right to receive 1 share of the issuer's Class B Common Stock upon settlement. |
8. The RSUs vest as to 1/48 of the total number of shares monthly, beginning on September 1, 2013, subject to continued service through each vesting date. |
9. The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis (a) at the holder's option or (b) upon certain transfers of such shares, and has no expiration date. |
10. The holder elected to convert the shares of Class B Common Stock into Class A Common Stock on a 1-for-1 basis. |
11. The RSUs vest as to 1/16th of the total shares quarterly, beginning on July 15, 2014, subject to continued service through each vesting date. |
/s/ Michael Johnson as attorney-in-fact for Christopher K. Cox | 10/19/2015 | |
** 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 Number. |