0001864306-23-000007.txt : 20230317 0001864306-23-000007.hdr.sgml : 20230317 20230317172305 ACCESSION NUMBER: 0001864306-23-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230315 FILED AS OF DATE: 20230317 DATE AS OF CHANGE: 20230317 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gardner Jason M. CENTRAL INDEX KEY: 0001864306 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40465 FILM NUMBER: 23743913 MAIL ADDRESS: STREET 1: C/O MARQETA, INC. STREET 2: 180 GRAND AVE., FLR 6 CITY: OAKLAND STATE: CA ZIP: 94612 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Marqeta, Inc. CENTRAL INDEX KEY: 0001522540 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 274306690 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 180 GRAND AVENUE STREET 2: 6TH FLOOR CITY: OAKLAND STATE: CA ZIP: 94612 BUSINESS PHONE: 888-462-7738 MAIL ADDRESS: STREET 1: 180 GRAND AVENUE STREET 2: 6TH FLOOR CITY: OAKLAND STATE: CA ZIP: 94612 4 1 wf-form4_167908817370506.xml FORM 4 X0306 4 2023-03-15 0 0001522540 Marqeta, Inc. MQ 0001864306 Gardner Jason M. 180 GRAND AVENUE 6TH FLOOR OAKLAND CA 94612 1 1 1 0 Executive Chairman Class B Common Stock 2023-03-15 4 G 0 468537 0 D Class A Common Stock 468537.0 0 I See Footnote Class B Common Stock 2023-03-15 4 G 0 468537 0 D Class A Common Stock 468537.0 0 I See Footnote Class B Common Stock 2023-03-15 4 G 0 468537 0 A Class A Common Stock 468537.0 468537 D Class B Common Stock 2023-03-15 4 G 0 468537 0 A Class A Common Stock 468537.0 468537 I See Footnote Class B Common Stock Class A Common Stock 37135479.0 37135479 I See Footnote Class B Common Stock Class A Common Stock 1500000.0 1500000 I See Footnote Class B Common Stock Class A Common Stock 1500000.0 3000000 I See Footnote 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. The shares are held directly by the Jason Gardner 2020 GRAT dated November 23, 2020 for which the Reporting Person is trustee. The shares are held directly by the Jocelyne Gardner 2020 GRAT, dated November 23, 2020 for which the spouse of the Reporting Person is trustee. The shares are held by the spouse of the Reporting Person. The shares are held directly by The Gardner 2008 Living Trust dated March 22, 2008 for which the Reporting Person and his spouse are trustees. The shares are held directly by the Jason Gardner 2022 GRAT dated November 23, 2022 for which the Reporting Person is trustee. The shares are held directly by the Jocelyne Gardner 2022 GRAT dated November 23, 2022 for which the spouse of the Reporting Person is trustee. /s/ Tracy Foard, Attorney-in-Fact 2023-03-17