Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Amendment No. 1)
Under the Securities Exchange Act of 1934
Facebook, Inc.
(Name of Issuer)
Class A Common Stock
(Title of Class of Securities)
30303M 102
(CUSIP Number)
December 31, 2013
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
¨ Rule 13d-l(b)
¨ Rule 13d-l(c)
x Rule 13d-l(d)
The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
SEC 1745 (3-06)
CUSIP No. 30303M 102
1. |
Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only).
Dustin A. Moskovitz | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) ¨ (a) ¨ (b)
| |||||
3. | SEC Use Only
| |||||
4. | Citizenship or Place of Organization
United States | |||||
Number of Shares Beneficially by Owned by Each Reporting Person With: | 5. | Sole Voting Power
42,323,109(1) | ||||
6. | Shared Voting Power
53,079,662(2)(3) | |||||
7. | Sole Dispositive Power
42,323,109(1) | |||||
8. | Shared Dispositive Power
53,079,662(2)(3) | |||||
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person
95,402,771(1)(2)(3) | |||||
10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions).
| |||||
11. | Percent of Class Represented by Amount in Row (9)
4.71%(4)(5)(6) | |||||
12. | Type of Reporting Person (See Instructions)
IN |
1) | Consists of (i) 34,925,645 shares of Class A Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin A. Moskovitz Trust dated December 27, 2005 and (ii) 7,397,464 shares of Class A Common Stock held of re cord by Dustin A. Moskovitz, Trustee of The Dustin Moskovitz 2008 Annuity Trust dated March 10, 2008. |
2) | Consists of (i) 195,083 shares of Class A Common Stock held of record by The CTF Trust dated December 27, 2012, of which Mr. Dustin A. Moskovitz is Co-Trustee, (ii) 3,991,666 shares of Class A Common Stock held of record by Monster Growth Ventures LLC, of which Dustin A. Moskovitz is Co-Manager, (iii) 6,830,855 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin Moskovitz 2008 Annuity Trust dated March 10, 2008 and (iv) 42,062,058 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin A. Moskovitz Trust dated December 27, 2005. The 42,062,058 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin A. Moskovitz Trust dated December 27, 2005 and the 6,830,855 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin Moskovitz 2008 Annuity Trust dated March 10, 2008 are subject to a voting agreement between Mark Zuckerberg, the Issuer, and such stockholder, and over which, under all but certain limited circumstances, Mark Zuckerberg holds an irrevocable proxy. |
3) | Each share of Class B Common Stock is convertible at any time into one share of Class A Common Stock. |
4) | Based on the aggregate number of shares of Class B Common Stock beneficially owned by Dustin A. Moskovitz, which is treated as converted into Class A Common Stock only for purposes of computing the percentage ownership of the Reporting Person. |
5) | Based on 1,975,722,473 shares of Class A Common Stock outstanding as of January 28, 2014, as reported by the Issuer in its Form 10-K filed January 31, 2014, plus the 48,892,913 shares of Class B Common Stock beneficially owned by Dustin A. Moskovitz, which are treated as converted into Class A Common Stock only for the purpose of computing the percentage ownership of the Reporting Person. |
6) | Each share of Class A Common Stock is entitled to one vote, and each share of Class B Common Stock is entitled to ten votes. There were 574,020,314 shares of Class B Common Stock outstanding as of January 28, 2014, as reported by the Issuer in its Form 10-K filed January 31, 2014, including the 48,892,913 shares of Class B Common Stock beneficially owned by Dustin A. Moskovitz. The percentage reported does not reflect the ten for one voting power of the Class B Common Stock. |
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Item 1. |
(a) | Name of Issuer Facebook, Inc. |
(b) | Address of Issuers Principal Executive Offices 1601 Willow Road, Menlo Park, California 94025 |
Item 2. |
(a) | Name of Person Filing |
Dustin A. Moskovitz
(b) | Address of Principal Business Office or, if none, Residence 244 Jackson Street, Suite 300, San Francisco, CA 94111 |
(c) | Citizenship United States of America |
(d) | Title of Class of Securities Class A Common Stock |
(e) | CUSIP Number 30303M 102 |
Item 3. | If this statement is filed pursuant to §§240.13d-l(b) or 240.13d-2(b) or (c), check whether the person filing is a: |
Not applicable.
Item 4. | Ownership. |
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
(a) | Amount beneficially owned: |
Dustin A. Moskovitz: 95,402,771(1)(2)(3)
(b) | Percent of class: |
Dustin A. Moskovitz: 4.71%(4)(5)(6)
(c) | Number of shares as to which the person has: |
(i) | Sole power to vote or to direct the vote |
Dustin A. Moskovitz: 42,323,109(1) |
(ii) | Shared power to vote or to direct the vote |
Dustin A. Moskovitz: 53,079,662(2)(3) |
(iii) | Sole power to dispose or to direct the disposition of |
Dustin A. Moskovitz: 42,323,109(1) |
(iv) | Shared power to dispose or to direct the disposition of |
Dustin A. Moskovitz: 53,079,662(2)(3) |
1) | Consists of (i) 34,925,645 shares of Class A Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin A. Moskovitz Trust dated December 27, 2005 and (ii) 7,397,464 shares of Class A Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin Moskovitz 2008 Annuity Trust dated March 10, 2008. |
2) | Con sists of (i) 195,083 shares of Class A Common Stock held of record by The CTF Trust dated December 27, 2012, of which Mr. Dustin A. Moskovitz is Co-Trustee, (ii) 3,991,666 shares of Class A Common Stock held of record by Monster Growth Ventures LLC, of which Dustin A. Moskovitz is Co-Manager, (iii) 6,830,855 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin Moskovitz 2008 Annuity Trust dated March 10, 2008 and (iv) 42,062,058 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin A. Moskovitz Trust dated December 27, 2005. The 42,062,058 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin A. Moskovitz Trust dated December 27, 2005 and the 6,830,855 shares of Class B Common Stock held of record by Dustin A. Moskovitz, Trustee of The Dustin Moskovitz 2008 Annuity Trust dated March 10, 2008 are subject to a voting agreement between Mark Zuckerberg, the Issuer, and such stockholder, and over which, under all but certain limited circumstances, Mark Zuckerberg holds an irrevocable proxy. |
Page 3 of 5 pages
3) | Each share of Class B Common Stock is convertible at any time into one share of Class A Common Stock. |
4) | Based on the aggregate number of shares of Class B Common Stock beneficially owned by Dustin A. Moskovitz, which is treated as converted into Class A Common Stock only for purposes of computing the percentage ownership of the Reporting Person. |
5) | Based on 1,975,722,473 shares of Class A Common Stock outstanding as of January 28, 2014, as reported by the Issuer in its Form 10-K filed January 31, 2014, plus the 48,892,913 shares of Class B Common Stock beneficially owned by Dustin A. Moskovitz, which are treated as converted into Class A Common Stock only for the purpose of computing the percentage ownership of the Reporting Person. |
6) | Each share of Class A Common Stock is entitled to one vote, and each share of Class B Common Stock is entitled to ten votes. There were 574,020,314 shares of Class B Common Stock outstanding as of January 28, 2014, as reported by the Issuer in its Form 10-K filed January 31, 2014, including the 48,892,913 shares of Class B Common Stock beneficially owned by Dustin A. Moskovitz. The percentage reported does not reflect the ten for one voting power of the Class B Common Stock. |
Item 5. | Ownership of Five Percent or Less of a Class x |
Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not applicable.
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company |
Not applicable.
Item 8. | Identification and Classification of Members of the Group |
Not applicable.
Item 9. | Notice of Dissolution of Group |
Not applicable.
Item 10. | Certification |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
Page 4 of 5 pages
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: February 4, 2014
DUSTIN A. MOSKOVITZ | ||
/s/ Dustin A. Moskovitz | ||
Name: Dustin A. Moskovitz |
Attention: Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001)
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