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

Role: Chief Financial Officer
Signature: /s/ Bradley Libuit, Attorney-in-fact
Stock symbol: CART
Transactions as of: Sep 18, 2023
Transactions value $: -$5,730,180
Form type: 4
Date filed: 9/20/2023, 08:43 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	+314K	+69.75%	$0.00	764K	Sep 18, 2023	Direct	F1, F2, F3
transaction	CART	Non-Voting Common Stock	Tax liability	-$5.73M	-191K	-25%	$30.00	573K	Sep 19, 2023	Direct	F1, F3, 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	+600K		$0.00	600K	Sep 18, 2023	Non-Voting Common Stock	600K		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	Includes 140,625 shares of restricted stock subject to the Issuer's right of repurchase.
F4	Represents the number of shares withheld by the Issuer in connection with the net settlement of the applicable RSUs and restricted stock awards 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.
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 150,000 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.