0001209191-13-003540.txt : 20130117
0001209191-13-003540.hdr.sgml : 20130117
20130117171117
ACCESSION NUMBER: 0001209191-13-003540
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121218
FILED AS OF DATE: 20130117
DATE AS OF CHANGE: 20130117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zuckerberg Mark
CENTRAL INDEX KEY: 0001548760
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35551
FILM NUMBER: 13535526
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
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2012-12-18
2012-12-18
0
0001326801
Facebook Inc
FB
0001548760
Zuckerberg Mark
C/O FACEBOOK, INC.
1601 WILLOW ROAD
MENLO PARK
CA
94025
1
1
1
0
COB and CEO
Class A Common Stock
2012-12-18
4
C
0
18000000
0.00
A
18000116
I
By Mark Zuckerberg, Trustee of The Mark Zuckerberg Trust dated July 7, 2006
Class A Common Stock
2012-12-18
5
G
0
E
18000000
0.00
D
116
I
By Mark Zuckerberg, Trustee of The Mark Zuckerberg Trust dated July 7, 2006
Class B Common Stock
2012-12-18
4
C
0
18000000
0.00
D
Class A Common Stock
18000000
391788289
I
By Mark Zuckerberg, Trustee of The Mark Zuckerberg Trust dated July 7, 2006
Class B Common Stock
Class A Common Stock
3380796
3380796
I
By Mark Zuckerberg, Trustee of The Mark Zuckerberg 2008 Annuity Trust dated March 13, 2008
Class B Common Stock
Class A Common Stock
3
3
I
By Mark Zuckerberg, Trustee of the Openess Trust, dated April 12, 2012
Class B Common Stock
Class A Common Stock
30432762
30432762
D
Represents the number of shares that were acquired upon conversion of Class B Common Stock to Class A Common Stock at the election of the holder.
Shares held of record by Mark Zuckerberg, Trustee of The Mark Zuckerberg Trust dated July 7, 2006.
Represents shares of Class A Common Stock that Mark Zuckerberg donated as a gift to Silicon Valley Community Foundation ("SVCF"). Mr. Zuckerberg does not exercise voting or investment control, directly or indirectly, over SVCF or any of its affiliates, or over the donated shares following this transfer.
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.
Includes 36,027 shares distributed by The Mark Zuckerberg 2008 Annuity Trust dated March 13, 2008.
Excludes 36,027 shares contributed to The Mark Zuckerberg Trust dated July 7, 2006.
Shares held of record by Mark Zuckerberg, Trustee of The Mark Zuckerberg 2008 Annuity Trust dated March 13, 2008.
Shares held of record by Mark Zuckerberg, Trustee of the Openess Trust dated April 12, 2012.
This amendment is being filed solely to include the share holdings reported in this line, which were inadvertently omitted from the reporting person's original Form 4 filed on December 18, 2012. No new transactions are being reported herein.
/s/ Michael Johnson as attorney-in-fact for Mark Zuckerberg
2013-01-17