0001127602-17-012257.txt : 20170317 0001127602-17-012257.hdr.sgml : 20170317 20170317195839 ACCESSION NUMBER: 0001127602-17-012257 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170315 FILED AS OF DATE: 20170317 DATE AS OF CHANGE: 20170317 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: Cox Christopher K CENTRAL INDEX KEY: 0001607459 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35551 FILM NUMBER: 17699845 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 2017-03-15 0001326801 Facebook Inc FB 0001607459 Cox Christopher K C/O FACEBOOK, INC. 1601 WILLOW ROAD MENLO PARK CA 94025 1 Chief Product Officer Class A Common Stock 2017-03-15 4 C 0 11370 0 A 201258 D Class A Common Stock 2017-03-15 4 F 0 5933 139.32 D 195325 D Class A Common Stock 76945 I By Christopher K. Cox Revocable Trust Class A Common Stock 28816 I By Remainder Interest Trust Created Under The Christopher K. Cox 2009 Annuity Trust Dated 5/29/2009 Restricted Stock Unit (RSU) (Class B) 2017-03-15 4 M 0 11370 0 D 2019-08-25 Class B Common Stock 11370 56850 D Class B Common Stock 2017-03-15 4 M 0 11370 0 A Class A Common Stock 11370 11370 D Class B Common Stock 2017-03-15 4 C 0 11370 0 D Class A Common Stock 11370 0 D Restricted Stock Units (RSU) (Class A) 2017-03-15 4 A 0 150819 0 A 2027-03-14 Class A Common Stock 150819 150819 D 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. Represents the number of shares of Class A Common Stock that have been withheld by the issuer to satisfy its income tax withholding and remittance obligations in connection with the net settlement of the RSUs and does not represent a sale by the reporting person. Shares held of record by Christopher Cox, Trustee of the Christopher K. Cox Revocable Trust. 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. Each RSU represents a contingent right to receive 1 share of the issuer's Class B Common Stock upon settlement. 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. 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. The holder elected to convert the shares of Class B Common Stock into Class A Common Stock on a 1-for-1 basis. Each RSU represents a contingent right to receive 1 share of the issuer's Class A Common Stock upon settlement. The RSUs shall vest quarterly as to 1/16th of the total shares, commencing the first quarter following November 15, 2020, subject to continued service through each vesting date. /s/ Michael Johnson as attorney-in-fact for Christopher K. Cox 2017-03-17