0001209191-23-057907.txt : 20231208 0001209191-23-057907.hdr.sgml : 20231208 20231208162253 ACCESSION NUMBER: 0001209191-23-057907 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231206 FILED AS OF DATE: 20231208 DATE AS OF CHANGE: 20231208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Xu Tony CENTRAL INDEX KEY: 0001832617 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39759 FILM NUMBER: 231475699 MAIL ADDRESS: STREET 1: C/O DOORDASH, INC. STREET 2: 303 2ND STREET, SOUTH TOWER, 8TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DoorDash, Inc. CENTRAL INDEX KEY: 0001792789 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 462852392 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 303 2ND STREET STREET 2: SOUTH TOWER, 8TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 650-487-3970 MAIL ADDRESS: STREET 1: 303 2ND STREET STREET 2: SOUTH TOWER, 8TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: DoorDash Inc DATE OF NAME CHANGE: 20191030 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-12-06 0 0001792789 DoorDash, Inc. DASH 0001832617 Xu Tony C/O DOORDASH, INC. 303 2ND STREET, SOUTH TOWER, 8TH FLOOR SAN FRANCISCO CA 94107 1 1 1 0 Chief Executive Officer 0 Class A Common Stock 2023-12-06 4 J 0 183000 0.00 A 183000 D Class A Common Stock 2023-12-06 4 G 0 183000 0.00 D 0 D Class B Common Stock 2023-12-06 4 J 0 183000 0.00 D Class A Common Stock 183000 2698054 D Class B Common Stock Class A Common Stock 2835819 2835819 I See footnote Class B Common Stock Class A Common Stock 1719655 1719655 I See footnote Class B Common Stock Class A Common Stock 305425 305425 I See footnote Class B Common Stock Class A Common Stock 305425 305425 I See footnote Class B Common Stock Class A Common Stock 1744157 1744157 I See footnote Class B Common Stock Class A Common Stock 288650 288650 I See footnote Shares of Class B Common Stock were exchanged at a 1:1 ratio for shares of Class A Common Stock at the election of the Reporting Person. 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. The shares are held by The Article 2 Trust under TXX Annuity Trust #2 for which the reporting person serves as a trustee. The shares are held by The Article 2 Trust under TXX Annuity Trust #3 for which the reporting person serves as a trustee. The shares are held by The Article 3 Trust under OBX Family Trust for which the reporting person serves as a trustee. The shares are held by The Article 3 Trust under TBX Family Trust for which the reporting person serves as a trustee. The shares are held by The Article 3 Trust under TXX Annuity Trust #1 for which the reporting person's spouse serves as a trustee. The shares are held by The Article 4 Trust under Library Trust for which the reporting person's spouse serves as a trustee. /s/ Brendan Brown, by power of attorney 2023-12-08