0001127602-17-029970.txt : 20171017 0001127602-17-029970.hdr.sgml : 20171017 20171017182708 ACCESSION NUMBER: 0001127602-17-029970 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171015 FILED AS OF DATE: 20171017 DATE AS OF CHANGE: 20171017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FISCHER DAVID B. CENTRAL INDEX KEY: 0001549078 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35551 FILM NUMBER: 171141473 MAIL ADDRESS: STREET 1: C/O FACEBOOK, INC. STREET 2: 1601 WILLOW ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-10-15 0001326801 Facebook Inc FB 0001549078 FISCHER DAVID B. C/O FACEBOOK, INC. 1601 WILLOW ROAD MENLO PARK CA 94025 1 VP Marketing & Bus. Part. Class A Common Stock 2017-10-15 4 C 0 14988 0 A 90028 D Class A Common Stock 2017-10-15 4 F 0 7821 173.74 D 82207 D Restricted Stock Unit (RSU) (Class B) 2017-10-15 4 M 0 14988 0 D 2021-03-24 Class B Common Stock 14988 119904 D Class B Common Stock 2017-10-15 4 M 0 14988 0 A Class A Common Stock 14988 14988 D Class B Common Stock 2017-10-15 4 C 0 14988 0 D Class A Common Stock 14988 0 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. 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 1/16th of the total shares quarterly, beginning on January 15, 2016, 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. /s/ Michael Johnson as attorney-in-fact for David Fischer 2017-10-17