Form 4 for CART Maplebear Inc.

Accepted 2023-09-25 00:00:00 ET · period of report 2023-09-21 · accession 0001209191-23-050508 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Owned	ΔOwn	Value
DM	2023-09-25	2023-09-21	CART	Simo Fidji	Pres, CEO, Dir	J - Other	—	939.2K	New	—
DMI	2023-09-25	2023-09-21	CART	Simo Fidji	Pres, CEO, Dir	J - Other	—	33.3K	New	—
DM	2023-09-25	2023-09-21	CART	Simo Fidji	Pres, CEO, Dir	J - Other	$0.00	0	New	$0

Purchase Sale Sale after option exercise All abbreviations

Every reported transaction

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Non-Voting Common Stock	2023-09-21	J	D	939,163	—	0	D See footnote	—	—	(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.
2	Common	Common Stock	2023-09-21	J	A	939,163	—	939,163	D See footnote	—	—	(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.
3	Common	Non-Voting Common Stock	2023-09-21	J	D	33,333	—	0	I	—	—	(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.
4	Common	Common Stock	2023-09-21	J	A	33,333	—	33,333	I	—	—	(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.
5	Derivative	Performance Stock Units	2023-09-21	J	A	1,200,000	$0.00	1,200,000	D	— · — to 2027-12-07	1,200,000 Common Stock	(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.
6	Derivative	Performance Stock Units	2023-09-21	J	D	1,200,000	$0.00	0	D	— · — to 2027-12-07	1,200,000 Non-Voting Common Stock	(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.