0001127602-16-050578.txt : 20160502
0001127602-16-050578.hdr.sgml : 20160502
20160502195147
ACCESSION NUMBER: 0001127602-16-050578
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160428
FILED AS OF DATE: 20160502
DATE AS OF CHANGE: 20160502
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: Koum Jan
CENTRAL INDEX KEY: 0001621141
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35551
FILM NUMBER: 161613286
MAIL ADDRESS:
STREET 1: C/O FACEBOOK, INC.
STREET 2: 1601 WILLOW ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-04-28
0001326801
Facebook Inc
FB
0001621141
Koum Jan
C/O FACEBOOK, INC.
1601 WILLOW ROAD
MENLO PARK
CA
94025
1
Class A Common Stock
2016-04-28
4
S
0
61661
116.8614
D
37012004
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-04-28
4
S
0
129053
117.6138
D
36882951
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-04-28
4
S
0
115219
118.9748
D
36767732
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-04-28
4
S
0
247649
119.6594
D
36520083
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-04-28
4
S
0
20230
120.4715
D
36499853
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-04-29
4
J
0
141489
0
D
0
I
By Jan Koum, Trustee of The Jan Koum Trust I U/A/D 4/29/2014
Class A Common Stock
2016-04-29
4
J
0
141489
0
A
36641342
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-04-29
5
G
0
E
3500000
0
D
33141342
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-04-29
5
G
0
E
3500000
0
A
3500000
I
By Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust IX U/A/D 4/13/2016
Class A Common Stock
2016-05-02
4
S
0
646895
117.3102
D
32494447
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-05-02
4
S
0
722037
118.1248
D
31772410
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
2016-05-02
4
S
0
65598
118.6439
D
31706812
I
By Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004
Class A Common Stock
3500000
I
By Jan Koum and BNY Mellon Trust of Delaware Co-Trustees of The Jan Koum Trust VIII U/A/D 1/29/2016
Class A Common Stock
2242343
I
By Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust IV U/A/D 2/4/2015
Class A Common Stock
3500000
I
By Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust V U/A/D 4/29/2015
Class A Common Stock
3500000
I
By Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust VI U/A/D 8/5/2015
Class A Common Stock
3500000
I
By Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust VII U/A/D 10/20/2015
Class A Common Stock
141489
I
By Jan Koum, Trustee of The Jan Koum Trust II U/A/D 8/5/2014
Class A Common Stock
2528672
I
By Jan Koum, Trustee of The Jan Koum Trust III U/A/D 10/9/2014
The sales reported were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $116.26 to $117.25 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.
Shares held of record by Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $117.26 to $118.25 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.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $118.26 to $119.25 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.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $119.26 to $120.255 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.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $120.26 to $120.76 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.
Represents the transfer of shares from Jan Koum, Trustee of The Jan Koum Trust I U/A/D 4/29/2014 to Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004. The reporting person remains the beneficial owner of all of the shares after the transfer.
Shares held of record by Jan Koum, Trustee of The Jan Koum Trust I U/A/D 4/29/2014.
On April 29, 2016, Jan Koum, Trustee of The Butterfly Trust U/A/D 1/20/2004 contributed 3,500,000 shares of Class A common stock to Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust IX U/A/D 4/13/2016, a grantor retained annuity trust for the benefit of the reporting holder.
Shares held of record by Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust IX U/A/D 4/13/2016.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $116.61 to $117.605 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.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $117.61 to $118.605 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.
The reported price in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $118.61 to $118.725 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.
Shares held of record by Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust VIII U/A/D 1/29/2016.
Shares held of record by Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust IV U/A/D 2/4/2015.
Shares held of record by Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust V U/A/D 4/29/2015.
Shares held of record by Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust VI U/A/D 8/5/2015.
Shares held of record by Jan Koum and BNY Mellon Trust of Delaware, Co-Trustees of The Jan Koum Trust VII U/A/D 10/20/2015.
Shares held of record by Jan Koum, Trustee of The Jan Koum Trust II U/A/D 8/5/2014.
Shares held of record by Jan Koum, Trustee of The Jan Koum Trust III U/A/D 10/9/2014.
/s/ Michael Johnson as attorney-in-fact for Jan Koum
2016-05-02