0000899243-21-023965.txt : 20210615 0000899243-21-023965.hdr.sgml : 20210615 20210615180907 ACCESSION NUMBER: 0000899243-21-023965 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210611 FILED AS OF DATE: 20210615 DATE AS OF CHANGE: 20210615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kieley Brian CENTRAL INDEX KEY: 0001865100 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40465 FILM NUMBER: 211019945 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 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-11 0 0001522540 Marqeta, Inc. MQ 0001865100 Kieley Brian 180 GRAND AVENUE, 6TH FLOOR OAKLAND CA 94612 0 1 0 0 See Remarks Common Stock 2021-06-11 4 J 0 12000 D 0 D Class B Common Stock 2021-06-11 4 J 0 12000 0.00 A Class A Common Stock 12000 12000 D Stock Option (Right to Buy) 0.40 2021-06-11 4 J 0 63000 0.00 D 2028-06-25 Common Stock 63000 0 D Stock Option (Right to Buy) 0.40 2021-06-11 4 J 0 63000 0.00 A 2028-06-25 Class B Common Stock 63000 63000 D Stock Option (Right to Buy) 0.40 2021-06-11 4 J 0 587500 0.00 D 2029-02-23 Common Stock 587500 0 D Stock Option (Right to Buy) 0.40 2021-06-11 4 J 0 587500 0.00 A 2029-02-23 Class B Common Stock 587500 587500 D Stock Option (Right to Buy) 2.25 2021-06-11 4 J 0 170834 0.00 D 2030-05-04 Common Stock 170834 0 D Stock Option (Right to Buy) 2.25 2021-06-11 4 J 0 170834 0.00 A 2030-05-04 Class B Common Stock 170834 170834 D Stock Option (Right to Buy) 10.48 2021-06-11 4 J 0 166917 0.00 D 2031-02-10 Common Stock 166917 0 D Stock Option (Right to Buy) 10.48 2021-06-11 4 J 0 166917 0.00 A 2031-02-10 Class B Common Stock 166917 166917 D Immediately prior to the closing of the Issuer's initial public offering and following the conversion of each series of the Issuer's Preferred Stock into Common Stock, each share of Common Stock was reclassified into one share of Class B Common Stock in an exempt transaction pursuant to Rule 16b-7 and Rule 16b-3. 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 stock option vested with respect to 25% of the shares on April 30, 2019 and vests in 36 additional monthly installments thereafter, subject to the Reporting Person's continued service to the Issuer as of each vesting date. The stock option is early exercisable by the Reporting Person. The stock option vests in 48 monthly installments after February 24, 2019, subject to the Reporting Person's continued service to the Issuer as of each vesting date. The stock option is early exercisable by the Reporting Person. The stock option vests in 48 monthly installments after April 1, 2020, subject to the Reporting Person's continued service to the Issuer as of each vesting date. The stock option is early exercisable by the Reporting Person. The stock option shall vest with respect to 50% of the shares on January 1, 2023, and shall vest in 24 additional monthly installments thereafter, subject to the Reporting Person's continued service to the Issuer as of each vesting date. The stock option is early exercisable by the Reporting Person. Senior Vice President of Program Management /s/ Seth Weissman, Attorney-in-Fact 2021-06-15