4//SEC Filing
JORDAN JEFFREY D 4
Accession 0001415889-24-013151
CIK 0001579091other
Filed
May 13, 8:00 PM ET
Accepted
May 14, 5:52 PM ET
Size
10.8 KB
Accession
0001415889-24-013151
Insider Transaction Report
Form 4
Maplebear Inc.CART
JORDAN JEFFREY D
Director
Transactions
- Other
Common Stock
2024-05-10−1,623,788→ 3,247,574 total(indirect: By Andreessen Horowitz Fund IV, L.P., as nominee) - Other
Common Stock
2024-05-10−1,178,277→ 2,356,549 total(indirect: By AH Parallel Fund IV, L.P., as nominee) - Other
Common Stock
2024-05-10+60,764→ 88,922 total(indirect: By Trust)
Holdings
- 20,783
Common Stock
Footnotes (4)
- [F1]Represents a pro rata in-kind distribution of shares of Common Stock of the Issuer to partners or members for no consideration and includes subsequent distributions by general partners or managing members to their respective partners or members.
- [F2]Mr. Jordan is a member of the general partners of the AH Fund Entities (as defined herein), but he disclaims the existence of a "group" and disclaims beneficial ownership of the shares held by the AH Fund Entities and this report shall not be deemed an admission that he is the beneficial owner of such shares, except to the extent of his pecuniary interest, if any, in such shares by virtue of his interest in the AH Fund Entities, and/or the general partner entities thereof, as applicable.
- [F3]The shares are held of record by AH Parallel Fund IV, L.P., for itself and as nominee for AH Parallel Fund IV-A, L.P., AH Parallel Fund IV-B, L.P. and AH Parallel Fund IV-Q, L.P. (collectively, the "AH Parallel Fund IV Entities"). AH Equity Partners IV (Parallel), L.L.C. ("AH EP IV Parallel") is the general partner of the AH Parallel Fund IV Entities and has sole voting and dispositive power with regard to the shares held by the AH Parallel Fund IV Entities. The managing members of AH EP IV Parallel are Marc Andreessen and Benjamin Horowitz. Marc Andreessen and Benjamin Horowitz share voting and dispositive power with respect to the shares held by the AH Parallel Fund IV Entities.
- [F4]The shares are held of record by Andreessen Horowitz Fund IV, L.P., for itself and as nominee for Andreessen Horowitz Fund IV-A, L.P., Andreessen Horowitz Fund IV-B, L.P. and Andreessen Horowitz Fund IV-Q, L.P. (collectively, the "AH Fund IV Entities"). AH Equity Partners IV, L.L.C. ("AH EP IV") is the general partner of the AH Fund IV Entities and has sole voting and dispositive power with regard to the shares held by the AH Fund IV Entities. The managing members of AH EP IV are Marc Andreessen and Benjamin Horowitz. Marc Andreessen and Benjamin Horowitz share voting and dispositive power with respect to the shares held by the AH Fund IV Entities.
Documents
Issuer
Maplebear Inc.
CIK 0001579091
Entity typeother
Related Parties
1- filerCIK 0001209185
Filing Metadata
- Form type
- 4
- Filed
- May 13, 8:00 PM ET
- Accepted
- May 14, 5:52 PM ET
- Size
- 10.8 KB