0001579091-14-000002.txt : 20141230 0001579091-14-000002.hdr.sgml : 20141230 20141229180946 ACCESSION NUMBER: 0001579091-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141230 DATE AS OF CHANGE: 20141229 EFFECTIVENESS DATE: 20141230 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Maplebear Inc. CENTRAL INDEX KEY: 0001579091 IRS NUMBER: 460723335 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-231015 FILM NUMBER: 141313709 BUSINESS ADDRESS: STREET 1: 92 S. PARK AVE. CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: (910) 817-2278 MAIL ADDRESS: STREET 1: 92 S. PARK AVE. CITY: SAN FRANCISCO STATE: CA ZIP: 94107 D 1 primary_doc.xml X0707 D LIVE 0001579091 Maplebear Inc. 420 Bryant Street San Francisco CA CALIFORNIA 94107 (910) 817-2278 DELAWARE None None Corporation true 2012 Apoorva Mehta 420 Bryant Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Michael Moritz 420 Bryant Street San Francisco CA CALIFORNIA 94107 Director Jeff Jordan 420 Bryant Street San Francisco CA CALIFORNIA 94107 Director Computers Decline to Disclose 06b false 2014-12-15 false true true Shares of Series C Preferred Stock and the Common Stock issuable upon conversion thereof. false 0 219999543 209999540 10000003 false 17 0 0 0 false Maplebear Inc. /s/ Apoorva Mehta Apoorva Mehta Chief Executive Officer 2014-12-29