0001209191-23-049825.txt : 20230918
0001209191-23-049825.hdr.sgml : 20230918
20230918190259
ACCESSION NUMBER: 0001209191-23-049825
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20230918
FILED AS OF DATE: 20230918
DATE AS OF CHANGE: 20230918
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ramsay Alan
CENTRAL INDEX KEY: 0001701399
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41805
FILM NUMBER: 231262195
MAIL ADDRESS:
STREET 1: C/O YELP INC.
STREET 2: 140 NEW MONTGOMERY ST., 9TH FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Maplebear Inc.
CENTRAL INDEX KEY: 0001579091
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 460723335
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 50 BEALE STREET, SUITE 600
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
BUSINESS PHONE: (888) 246-7822
MAIL ADDRESS:
STREET 1: 50 BEALE STREET, SUITE 600
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2023-09-18
0
0001579091
Maplebear Inc.
CART
0001701399
Ramsay Alan
C/O MAPLEBEAR INC.
50 BEALE STREET, SUITE 600
SAN FRANCISCO
CA
94105
0
1
0
0
Chief Accounting Officer
Common Stock
0
D
/s/ Bradley Libuit, Attorney-in-fact
2023-09-18
EX-24
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
Morgan Fong, Bradley Libuit, and Kelsey Wilcox of Maplebear Inc. and Milson Yu
and Eric Steiner of Cooley LLP, or any of them signing singly, with full power
of substitution, the undersigned's true and lawful attorney in fact to:
(1) prepare, execute in the undersigned's name and on the undersigned's behalf,
and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID
Application to Obtain EDGAR Access Codes, if applicable, and any other forms
necessary to generate EDGAR codes on my behalf enabling the undersigned to make
electronic filings with the SEC of reports required by Section 16(a) of the
Securities Exchange Act of 1934 or any rule or regulation of the SEC;
(2) execute for and on behalf of the undersigned, in the undersigned's capacity
as a director, officer and/or a 10% stockholder of Maplebear Inc. (the
"Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities
Exchange Act of 1934 and the rules thereunder;
(3) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the SEC and any stock exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney in fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney in fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney in fact may approve in such
attorney in fact's discretion.
The undersigned hereby grants to such attorney in fact full power and authority
to do and perform any and every act and thing whatsoever requisite, necessary,
or proper to be done in the exercise of any of the rights and powers herein
granted, as fully to all intents and purposes as the undersigned might or could
do if personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney in fact, or such attorney in
fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney and the rights and powers herein granted.
This Power of Attorney shall remain in full force and effect until either the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company
or unless earlier revoked by the undersigned in a signed writing delivered to
the foregoing attorney in fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 9th day of August, 2023.
/s/ Alan Ramsay