UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Class B Common Stock (1) | Â (1) | Â (1) | Class A Common Stock | 35,600 | $ 0 | D | Â |
Stock option (right to buy Class B Common Stock) (1) | Â (2) | 01/11/2019 | Class B Common Stock (1) | 2,905,321 | $ 1.85 | D | Â |
Restricted Stock Units (RSU) | Â (3) | 03/24/2021 | Class B Common Stock (1) | 239,808 | $ (4) | D | Â |
Restricted Stock Units (RSU) | Â (5) | 05/02/2022 | Class B Common Stock (1) | 145,128 | $ (4) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Ullyot Theodore Warren C/O FACEBOOK, INC. 1601 WILLOW ROAD MENLO PARK, CA 94025 |
 |  |  VP, Gen. Counsel & Secretary |  |
/s/ Michael Johnson as attorney-in-fact for Theodore W. Ullyot | 05/17/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis and has no expiration date. Upon the closing of the issuer's sale of its Class A Common Stock in its firm commitment underwritten initial public offering pursuant to a registration statement on Form S-1 (File No. 333-179287) under the Securities Act of 1933, as amended, the Class B Common Stock will also become convertible into the issuer's Class A Common Stock on the same basis upon certain transfers of such shares. |
(2) | The option vested as to 1/5th of the total shares on October 20, 2009, after which 1/60th of the total shares vest monthly, subject to continued service through each vesting date. In December 2011, in connection with estate planning purposes, the reporting person transferred options to purchase 400,000 shares to Theodore W. Ullyot, as Trustee of the Theodore W. Ullyot 2011 Annuity Trust dated December 13, 2011. |
(3) | The RSUs vest as to 1/16th of the total shares quarterly, beginning on October 15, 2014, subject to continued service through each vesting date. |
(4) | Each RSU represents a contingent right to receive 1 share of the issuer's Class B Common Stock upon settlement. |
(5) | The RSUs vest as to 1/16th of the total shares quarterly, beginning on February 15, 2014, subject to continued service through each vesting date. |
 Remarks: As described in the issuer's registration statement on Form S-1 (File No. 333-179287) for the issuer's initial public offering (the "IPO"), the Reporting Person holds 3,231,780 and 311,230 restricted stock units granted prior to January 1, 2011 ("Pre-January 2011 RSUs"), the vesting of which are subject to the satisfaction of both (a) a service-based condition and (b) a liquidity event-based condition.  As a result, the Pre-January 2011 RSUs are not yet considered reportable for purposes of Section 16, and are not reflected on this Form 3.  The liquidity event-based condition of the Pre-January 2011 RSUs will be satisfied on the date that is six months after the effective date of the IPO. |