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