0001209191-23-055597.txt : 20231116 0001209191-23-055597.hdr.sgml : 20231116 20231116182212 ACCESSION NUMBER: 0001209191-23-055597 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231115 FILED AS OF DATE: 20231116 DATE AS OF CHANGE: 20231116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Giovanni Nick CENTRAL INDEX KEY: 0001990105 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41805 FILM NUMBER: 231415881 MAIL ADDRESS: STREET 1: C/O MAPLEBEAR INC. STREET 2: 50 BEALE STREET, SUITE 600 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 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-11-15 0 0001579091 Maplebear Inc. CART 0001990105 Giovanni Nick C/O MAPLEBEAR INC. 50 BEALE STREET, SUITE 600 SAN FRANCISCO CA 94105 0 1 0 0 Chief Financial Officer 0 Common Stock 2023-11-15 4 F 0 13945 25.88 D 558940 D Represents shares withheld to satisfy tax withholding obligations upon the vesting of restricted stock. Includes 112,500 shares of restricted stock subject to the Issuer's right of repurchase. /s/ Bradley Libuit, Attorney-in-fact 2023-11-16