SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Fang Andy

(Last) (First) (Middle)
C/O DOORDASH, INC.
303 2ND STREET, SOUTH TOWER, 8TH FLOOR

(Street)
SAN FRANCISCO CA 94107

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
DoorDash, Inc. [ DASH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
08/20/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 08/20/2021 J(1) 6,722 D $0.00 83,270(2) D
Class A Common Stock 10/11/2021 M 40,000 D $0.2 123,270(2) D
Class A Common Stock 10/11/2021 S(3) 6,761 D $195.129(4) 116,509(2) D
Class A Common Stock 10/11/2021 S(3) 1,800 D $196.259(5) 114,709(2) D
Class A Common Stock 10/11/2021 S(3) 2,150 D $197.447(6) 112,559(2) D
Class A Common Stock 10/11/2021 S(3) 3,537 D $198.208(7) 109,022(2) D
Class A Common Stock 10/11/2021 S(3) 4,113 D $199.003(8) 104,909(2) D
Class A Common Stock 10/11/2021 S(3) 7,749 D $200.383(9) 97,160(2) D
Class A Common Stock 10/11/2021 S(3) 7,722 D $201.141(10) 89,438(2) D
Class A Common Stock 10/11/2021 S(3) 5,668 D $202.259(11) 83,770(2) D
Class A Common Stock 10/11/2021 S(3) 500 D $203.114(12) 83,270(2) D
Class A Common Stock 10/12/2021 M 40,000 A $0.2 123,270(2) D
Class A Common Stock 10/12/2021 S(3) 10,896 D $199.357(13) 112,374(2) D
Class A Common Stock 10/12/2021 S(3) 19,004 D $200.235(14) 93,370(2) D
Class A Common Stock 10/12/2021 S(3) 6,810 D $200.903(15) 86,560(2) D
Class A Common Stock 10/12/2021 S(3) 690 D $202.22(16) 85,870(2) D
Class A Common Stock 10/12/2021 S(3) 2,500 D $203.001(17) 83,370(2) D
Class A Common Stock 10/12/2021 S(3) 100 D $203.81 83,270(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (18) 08/20/2021 J(1) 6,722 (18) (18) Class A Common Stock 6,722 $0.00 107,190 D
Stock Option (right to buy) $0.2 10/11/2021 M 40,000 (19) 06/25/2024 Class A Common Stock 40,000 $0.00 2,528,390 D
Stock Option (right to buy) $0.2 10/12/2021 M 40,000 (19) 06/25/2024 Class A Common Stock 40,000 $0.00 2,488,390 D
Class B Common Stock (18) (18) (18) Class A Common Stock 494,524 494,524 I See footnote(20)
Class B Common Stock (18) (18) (18) Class A Common Stock 3,456,375 3,456,375 I See footnote(21)
Class B Common Stock (18) (18) (18) Class A Common Stock 6,223,003 6,223,003 I See footnote(22)
Explanation of Responses:
1. Shares of Class A Common Stock issued following the vesting and settlement of restricted stock units were exchanged at a 1:1 ratio for a share of Class B Common Stock at the election of the Reporting Person.
2. Certain of these securities are represented by restricted stock units.
3. The sales reported by the Reporting Person were effected pursuant to a Rule 10b5-1 trading plan.
4. This sale price represents the weighted average sale price of the shares sold ranging from $194.58 to $195.52 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
5. This sale price represents the weighted average sale price of the shares sold ranging from $195.62 to $196.53 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
6. This sale price represents the weighted average sale price of the shares sold ranging from $196.70 to $197.69 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
7. This sale price represents the weighted average sale price of the shares sold ranging from $197.70 to $198.68 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
8. This sale price represents the weighted average sale price of the shares sold ranging from $198.70 to $199.60 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
9. This sale price represents the weighted average sale price of the shares sold ranging from $199.80 to $200.78 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
10. This sale price represents the weighted average sale price of the shares sold ranging from $200.81 to $201.79 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
11. This sale price represents the weighted average sale price of the shares sold ranging from $201.815 to $202.79 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
12. This sale price represents the weighted average sale price of the shares sold ranging from $202.85 to $203.43 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
13. This sale price represents the weighted average sale price of the shares sold ranging from $198.68 to $199.678 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
14. This sale price represents the weighted average sale price of the shares sold ranging from $199.68 to $200.67 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
15. This sale price represents the weighted average sale price of the shares sold ranging from $200.68 to $201.40 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
16. This sale price represents the weighted average sale price of the shares sold ranging from $201.74 to $202.72 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
17. This sale price represents the weighted average sale price of the shares sold ranging from $202.79 to $203.76 per share. Upon request by the Commission staff, the Issuer, or a security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price within the range set forth in this Form 4.
18. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
19. The shares underlying the option are fully vested and immediately exercisable.
20. The shares are held by The 2019 Fang Grantor Retained Annuity Trust UTA dated 9/4/19 for which the Reporting Person serves as the trustee.
21. The shares are held by The 2020 Fang Grantor Retained Annuity Trust UTA dated 6/1/2020 for which the Reporting Person serves as the trustee.
22. The shares are held by The AF Living Trust UTA dated 9/4/19 for which the Reporting Person serves as the trustee.
Remarks:
/s/ Rob Moreno, Attorney-in-fact 10/13/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.