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