0001127602-24-013203.txt : 20240419 0001127602-24-013203.hdr.sgml : 20240419 20240419160951 ACCESSION NUMBER: 0001127602-24-013203 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240417 FILED AS OF DATE: 20240419 DATE AS OF CHANGE: 20240419 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simo Fidji CENTRAL INDEX KEY: 0001962727 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41805 FILM NUMBER: 24857839 MAIL ADDRESS: STREET 1: C/O SHOPIFY, INC. STREET 2: 151 O'CONNOR STREET, GROUND FLOOR CITY: OTTAWA STATE: Z4 ZIP: K2P 2L8 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Maplebear Inc. CENTRAL INDEX KEY: 0001579091 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] ORGANIZATION NAME: 07 Trade & Services 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 form4.xml PRIMARY DOCUMENT X0508 4 2024-04-17 0001579091 Maplebear Inc. CART 0001962727 Simo Fidji C/O MAPLEBEAR INC. SAN FRANCISCO CA 94105 1 1 PRESIDENT AND CEO 0 Common Stock 2024-04-17 4 A 0 1257686 0 A 2146051 D The shares represent restricted stock units, which vest in 12 equal quarterly installments measured from February 15, 2024, subject to the Reporting Person's continued service through each such date. /s/ Bradley Libuit, Attorney-in-Fact 2024-04-19