Jason M. Gardner - 31 Dec 2022 Form 5 Insider Report for Marqeta, Inc. (MQ)

Role
Executive Chairman, Director, 10%+ Owner
Signature
/s/ Tracy Foard, Attorney-in-Fact
Issuer symbol
MQ
Transactions as of
31 Dec 2022
Net transactions value
$0
Form type
5
Filing time
10 Feb 2023, 15:51:05 UTC
Previous filing
23 Aug 2022
Next filing
17 Mar 2023
SEC
View on sec.gov

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 MQ Class B Common Stock Gift $0 -3,000,000 -7.5% $0.000000 37,135,479 30 Nov 2022 Class A Common Stock 3,000,000 See Footnote F1, F2, F3
transaction MQ Class B Common Stock Gift $0 +1,500,000 $0.000000 1,500,000 31 Dec 2022 Class A Common Stock 1,500,000 See Footnote F1, F4
transaction MQ Class B Common Stock Gift $0 +1,500,000 +100% $0.000000 3,000,000 30 Nov 2022 Class A Common Stock 1,500,000 See Footnote F1, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and upon the occurrence of other events set forth in the Issuer's Certificate of Incorporation.
F2 The shares are held of record by Jason Gardner and Jocelyne Gardner as trustees of The Gardner 2008 Living Trust dated March 22, 2008.
F3 On November 30, 2022, The Gardner 2008 Living Trust transferred 1,500,000 shares to the Jason Gardner 2022 GRAT dtd November 23, 2022 (the "Jason Gardner Annuity Trust") for which the Reporting Person serves as trustee, and 1,500,000 shares to the Jocelyne Gardner 2022 GRAT dtd November 23, 2022 (the "Jocelyne Gardner Annuity Trust") for which the spouse of the Reporting Person serves as trustee.
F4 These shares are held of record by the Jason Gardner Annuity Trust for which the Reporting Person serves as trustee. The Reporting Person may be deemed to have beneficial ownership over the shares held by the Jason Gardner Annuity Trust.
F5 These shares are held of record by the Jocelyne Gardner Annuity Trust for which the spouse of the Reporting Person serves as trustee. The spouse of the Reporting Person may be deemed to have beneficial ownership over the shares held by the Jocelyne Gardner Annuity Trust.