0000950103-20-002775.txt : 20200213 0000950103-20-002775.hdr.sgml : 20200213 20200213215222 ACCESSION NUMBER: 0000950103-20-002775 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200213 DATE AS OF CHANGE: 20200213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Schroepfer Michael Todd CENTRAL INDEX KEY: 0001509441 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35551 FILM NUMBER: 20613435 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 5 1 dp121426_5-schroepfer1.xml FORM 5 X0306 5 2019-12-31 0 0 1 0001326801 Facebook Inc FB 0001509441 Schroepfer Michael Todd C/O FACEBOOK INC. 1601 WILLOW ROAD MENLO PARK CA 94025 0 1 0 0 Chief Technology Officer Class A Common Stock 2016-12-12 4 P 0 L 52 117.7700 A 52 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2017-01-12 4 P 0 L 27 126.6200 A 79 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2017-04-19 4 P 0 L 8 142.2700 A 87 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2017-10-12 4 P 0 L 6 172.5500 A 93 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2018-05-30 4 S 0 L 8 187.6700 D 85 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2018-05-30 4 S 0 L 6 187.6700 D 79 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2019-03-06 4 P 0 L 33 172.5100 A 112 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2019-07-25 4 P 0 L 49 200.7100 A 161 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2019-10-10 4 S 0 L 49 181.4324 D 112 I The Clover Irrevocable Exempt Trust U/A/D 6/27/2011 Class A Common Stock 2016-12-12 4 P 0 L 655 117.7700 A 28909 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2017-01-23 4 P 0 L 180 128.9300 A 85588 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2017-03-22 4 P 0 L 51 139.5900 A 142238 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2017-05-09 4 P 0 L 34 150.4800 A 170583 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2017-12-14 4 P 0 L 1550 178.3900 A 338023 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2018-03-26 4 S 0 L 710 160.0600 D 421990 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2018-05-04 4 P 0 L 675 176.6100 A 450817 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2018-10-08 4 S 0 L 661 157.2500 D 591280 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2018-11-20 4 S 0 L 100 132.4300 D 447556 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2018-12-28 4 S 0 L 52 133.2000 D 475552 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-02-21 4 P 0 L 876 160.0400 A 476428 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-04-04 4 P 0 L 253 176.0200 A 476681 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-06-06 4 S 0 L 174 168.3300 D 476507 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-06-06 4 S 0 L 79 168.3300 D 476428 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-06-06 4 S 0 L 253 168.3300 D 476175 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-07-30 4 P 0 L 257 197.0400 A 476432 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-08-28 4 P 0 L 154 181.7600 A 476586 I The HS Trust U/A/D 9/28/2011 Class A Common Stock 2019-10-03 4 S 0 L 257 179.3800 D 476329 I The HS Trust U/A/D 9/28/2011 A third-party investment advisor retained by the reporting person carried out these transactions in its sole discretion without direction or knowledge from the reporting person or his spouse. The advisor recently brought the transactions to the attention of Facebook, Inc. ("Issuer") and the reporting person. Such transactions may be subject to Section 16(b) under the Securities Exchange Act of 1934, as amended, and therefore the reporting person paid $80,848.16 to Issuer as disgorgement of the maximum amount of the profit realized in connection with such transactions, regardless of whether such disgorgement would have actually been required by law. The shares reported in these transactions are held by trusts, for which the reporting person and his spouse serve as trustees, in separate accounts managed by the third-party investment advisor. The reporting person disclaims beneficial ownership of the shares held by the trusts, except to the extent of his pecuniary interest therein. Shares held of record by Michael Schroepfer and Erin Hoffmann, Co-Trustees of The Clover Irrevocable Exempt Trust U/A/D 6/27/2011. Shares held of record by Michael Schroepfer and Erin Hoffmann, Co-Trustees of The HS Trust U/A/D 9/28/2011. This is 1 of 2 Forms 5 being filed. /s/ Michael Johnson as attorney-in-fact for Michael T. Schroepfer 2020-02-13