0001127602-24-015819.txt : 20240517 0001127602-24-015819.hdr.sgml : 20240517 20240517161037 ACCESSION NUMBER: 0001127602-24-015819 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240515 FILED AS OF DATE: 20240517 DATE AS OF CHANGE: 20240517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fong Morgan CENTRAL INDEX KEY: 0001990106 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41805 FILM NUMBER: 24959761 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] 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 2024-05-15 0001579091 Maplebear Inc. CART 0001990106 Fong Morgan C/O MAPLEBEAR INC. 50 BEALE STREET, SUITE 600 SAN FRANCISCO CA 94105 1 GENERAL COUNSEL & SECRETARY 0 Common Stock 2024-05-15 4 F 0 18676 34.30 D 400297 D Represents shares withheld to satisfy tax withholding obligations upon the vesting of restricted stock units. /s/ Bradley Libuit, Attorney-in-Fact 2024-05-17