0001891344-21-000001.txt : 20211101 0001891344-21-000001.hdr.sgml : 20211101 20211101165842 ACCESSION NUMBER: 0001891344-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211101 DATE AS OF CHANGE: 20211101 EFFECTIVENESS DATE: 20211101 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: 021-419404 FILM NUMBER: 211367984 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 Fidji Simo c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Director Asha Sharma c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Carolyn Everson c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Mark Schaaf c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Morgan Fong c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Nick Giovanni c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Executive Officer Apoorva Mehta c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Barry McCarthy c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Daniel Sundheim 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 Jeffrey Jordan c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Lily Sarafan c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Meredith Levien c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Michael Moritz c/o Maplebear Inc. 50 Beale St., Suite 600 San Francisco CA CALIFORNIA 94105 Director Other Technology Decline to Disclose 06b false 2021-10-15 false true true 0 290000000 232000000 58000000 false 31 0 0 0 false Maplebear Inc. /s/ Morgan Fong Morgan Fong General Counsel & Secretary 2021-11-01