Fidji Simo - Sep 21, 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 21, 2023
Transactions value $
$0
Form type
4
Date filed
9/25/2023, 06:52 PM
Previous filing
Sep 18, 2023
Next filing
Feb 16, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction CART Non-Voting Common Stock Other -939K -100% 0 Sep 21, 2023 Direct F1
transaction CART Common Stock Other +939K 939K Sep 21, 2023 Direct F1
transaction CART Non-Voting Common Stock Other -33.3K -100% 0 Sep 21, 2023 See footnote F1, F2
transaction CART Common Stock Other +33.3K 33.3K Sep 21, 2023 See footnote F1, F2

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 Other $0 -1.2M -100% $0.00* 0 Sep 21, 2023 Non-Voting Common Stock 1.2M Direct F1, F3
transaction CART Performance Stock Units Other $0 +1.2M $0.00 1.2M Sep 21, 2023 Common Stock 1.2M Direct F1, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Non-Voting Common Stock was automatically converted into one share of Common Stock in connection with the closing of the Issuer's initial public offering of common stock.
F2 The shares are held by the Djanga Trust.
F3 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.