Apoorva Mehta - Oct 18, 2024 Form 4 Insider Report for Maplebear Inc. (CART)

Role
10%+ Owner
Signature
/s/ Apoorva Mehta
Stock symbol
CART
Transactions as of
Oct 18, 2024
Transactions value $
$0
Form type
4
Date filed
10/22/2024, 09:38 PM
Previous filing
Mar 15, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding CART Common Stock 4.14K Oct 18, 2024 Direct
holding CART Common Stock 22.4M Oct 18, 2024 See Footnote F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction CART Forward Sale Contract (Obligation to Sell) Other +1.14M 1.14M Oct 18, 2024 Common Stock 1.14M See Footnote F2, F3, F4, F5
holding CART Stock Option (Right to Buy) 4.87M Oct 18, 2024 Common Stock 4.87M $9.55 Direct F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 21,273,560 shares of common stock of the issuer (the "Shares") are held by The Apoorva Mehta Revocable Trust, dated June 20, 2018, of which the reporting person is trustee and has sole voting and dispositive power, and 1,136,191 Shares are held by AM Investment Holdings LLC (the "LLC"), which is beneficially owned by the reporting person and over which the reporting person has sole voting and dispositive power.
F2 On October 18, 2024, the reporting person, through the LLC, entered into a prepaid variable forward sale contract with an unaffiliated third-party purchaser. The contract obligates the LLC to deliver to the purchaser, at the LLC's election, up to an aggregate of 1,136,191 Shares or an equivalent amount of cash based on the market price of the Shares on the relevant maturity date, over the course of the maturity dates of the contract (occurring in three approximately equal components on October 20, 21 and 22, 2025). In exchange for assuming this obligation, the LLC received a cash payment of $32,651,061.62. The LLC pledged 1,136,191 Shares (the "Pledged Shares") to secure its obligations under the contract, and retained dividend and voting rights in the Pledged Shares during the term of the pledge, subject to certain payments the LLC may need to make to the purchaser with respect to certain dividends under the terms of the contract.
F3 The number of Shares to be delivered to the purchaser (or on which to base the amount of cash to be delivered to the purchaser) on the maturity dates is to be determined as follows: (a) if the volume-weighted average price of the Shares on the relevant valuation date for the applicable component as determined under the contract (each, a "Settlement Price") is less than or equal to $30.0689 per share (the "Floor Price"), the LLC will deliver to the purchaser all of the Pledged Shares for the applicable component; (b) if such Settlement Price is greater than the Floor Price but less than or equal to $56.2718 (the "Cap Price"), the LLC will deliver to the purchaser a number of Shares equal to the product of (i) the number of Pledged Shares for the applicable component and (ii) a fraction, the numerator of which is the Floor Price and the denominator of which is such Settlement Price; and (c) if such Settlement Price is greater than the Cap Price,
F4 (Continued from footnote 3) the LLC will deliver to the purchaser a number of Shares equal to the product of (i) the number of Pledged Shares for the applicable component and (ii) a fraction, the numerator of which is the Floor Price plus the excess of such Settlement Price over the Cap Price and the denominator of which is such Settlement Price.
F5 The reporting person is the beneficial owner of, and has sole voting and dispositive power over, the LLC.
F6 Fully vested.