Fidji Simo - Sep 18, 2023 Form 4 Insider Report for Maplebear Inc. (CART)

Role: President and CEO, Director
Signature: /s/ Bradley Libuit, Attorney-in-fact
Stock symbol: CART
Transactions as of: Sep 18, 2023
Transactions value $: -$9,635,430
Form type: 4
Date filed: 9/20/2023, 08:27 PM
Next filing: Sep 25, 2023

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	CART	Non-Voting Common Stock	Award	$0	+1.26M		$0.00	1.26M	Sep 18, 2023	Direct	F1, F2
transaction	CART	Non-Voting Common Stock	Tax liability	-$9.64M	-321K	-25.48%	$30.00	939K	Sep 19, 2023	Direct	F1, F3
holding	CART	Non-Voting Common Stock						33.3K	Sep 18, 2023	See footnote	F1, F4

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	Performance Stock Units	Award	$0	+1.2M		$0.00	1.2M	Sep 18, 2023	Non-Voting Common Stock	1.2M		Direct	F1, F5

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	All outstanding shares of non-voting common stock and shares of non-voting common stock underlying outstanding equity securities will convert into an equivalent number of shares of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering.
F2	Consists of previously granted restricted stock units ("RSUs") for which the liquidity event-based vesting condition was satisfied upon the effectiveness of the registration statement on Form S-1 filed by the Issuer in connection with the Issuer's initial public offering. Certain of the RSUs remain subject to service-based vesting conditions.
F3	Represents the number of shares withheld by the Issuer in connection with the net settlement of the applicable RSUs prior to the open of trading on September 19, 2023, which settlement date was determined by the Issuer's board of directors, to satisfy the tax obligation realized upon vesting of such RSUs.
F4	The shares are held by the Djanga Trust.
F5	Each performance right represents a contingent right to receive one share of the Issuer's common stock. The initial performance condition was met, and 300,000 shares vested, upon the effectiveness of the Issuer's initial public offering and the remaining rights will vest upon the achievement of specified market valuations.