0001559292-21-000001.txt : 20210311 0001559292-21-000001.hdr.sgml : 20210311 20210311163812 ACCESSION NUMBER: 0001559292-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210311 DATE AS OF CHANGE: 20210311 EFFECTIVENESS DATE: 20210311 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Maplebear Inc. CENTRAL INDEX KEY: 0001579091 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 460723335 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-391968 FILM NUMBER: 21733833 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 D 1 primary_doc.xml X0708 D LIVE 0001579091 Maplebear Inc. 50 BEALE STREET, SUITE 600 SAN FRANCISCO CA CALIFORNIA 94105 (888) 246-7822 DELAWARE None None Corporation true Apoorva Mehta c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Director Michael Mortiz c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Jeff Jordan c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Nick Giovanni c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Nilam Ganenthiran c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Dan Sundheim c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Morgan Fong c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Barry McCarthy c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Frank Slootman c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Fidji Simo c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Mark Schaaf c/o Maplebear, Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Other Technology Decline to Disclose 06b false 2021-02-26 false true false 0 500000000 265000000 235000000 false 54 0 0 0 false Maplebear Inc. /s/ Morgan Fong Morgan Fong General Counsel & Secretary 2021-03-08