Form of Registrant's Class A common stock certificate



 EXHIBIT 4.1 

 

	
	












 



 
 FACEBOOK, INC. 
 THE COMPANY WILL FURNISH WITHOUT CHARGE TO EACH SHAREHOLDER WHO SO REQUESTS, A SUMMARY OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL
RIGHTS OF EACH CLASS OF STOCK OF THE COMPANY AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND RIGHTS, AND THE VARIATIONS IN RIGHTS, PREFERENCES AND 
 LIMITATIONS DETERMINED FOR EACH SERIES, WHICH ARE FIXED BY THE ARTICLES OF INCORPORATION OF THE COMPANY, AS AMENDED, AND THE RESOLUTIONS OF THE BOARD OF DIRECTORS OF THE COMPANY, AND THE
AUTHORITY OF THE BOARD OF DIRECTORS TO DETERMINE VARIATIONS FOR FUTURE SERIES. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT. THE 

BOARD OF DIRECTORS MAY REQUIRE THE OWNER OF A LOST OR DESTROYED STOCK CERTIFICATE, OR HIS LEGAL REPRESENTATIVES, TO GIVE
THE COMPANY A BOND TO INDEMNIFY IT AND ITS TRANSFER AGENTS AND REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE. 

The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though
they were written out in full according to applicable laws or regulations: 
 TEN COM - as tenants in common UNIF
GIFT MIN ACT - Custodian 
 (Cust) (Minor) 

TEN ENT - as tenants by the entireties under Uniform Gifts to Minors Act 

(State) 
 JT TEN - as joint tenants with right of survivorship UNIF TRF MIN ACT - Custodian (until age ) 
 and not as tenants in common (Cust) 
 under Uniform
Transfers to Minors Act 
 (Minor) (State) 

Additional abbreviations may also be used though not in the above list. 

PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE 

For value received, hereby sell, assign and transfer unto 

(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE, OF ASSIGNEE) 

Shares 
 of the Class A Common Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint 
 Attorney 
 to transfer the said stock on the books
of the within-named Company with full power of substitution in the premises. 
 Dated: 20 Signature(s)
Guaranteed: Medallion Guarantee Stamp 
 THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR
INSTITUTION (Banks, 
 Stockbrokers, Savings and Loan Associations and Credit Unions) WITH MEMBERSHIP IN AN
APPROVED 
 SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15. 

Signature: 
 Signature: 
 Notice: The signature to this
assignment must correspond with the name as written upon the face of the certificate, in every particular, 

without alteration or enlargement, or any change whatever. 

The IRS requires that we report the cost basis of certain shares acquired after January 1, 2011. If your shares were
covered by 
 the legislation and you have sold or transferred the shares and requested a specific cost basis
calculation method, we have 
 processed as requested. If you did not specify a cost basis calculation method, we
have defaulted to the first in, first out 
 (FIFO) method. Please visit our website or consult your tax advisor
if you need additional information about cost basis. If you do not keep in contact with us or do not have any activity in your account for the time periods specified by state 
 law, your property could become subject to state unclaimed property laws and transferred to the appropriate state.