Instacart - Maplebear Inc.

08/28/2024 | Press release | Distributed by Public on 08/28/2024 17:42

Statement of Changes in Beneficial Ownership - Form 4

Ownership Submission
FORM 4
Check this box if no longer subject to Section 16, Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person *
SC US (TTGP), LTD.
2. Issuer Name and Ticker or Trading Symbol
Maplebear Inc. [CART]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
2800 SAND HILL ROAD, SUITE 101
3. Date of Earliest Transaction (Month/Day/Year)
(Street)
MENLO PARK CA 94025
4. If Amendment, Date Original Filed(Month/Day/Year)
6. Individual or Join/Group Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code 4. Securities Acquired (A) or Disposed of (D) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) 6. Ownership Form: Direct (D) or Indirect (I) 7. Nature of Indirect Beneficial Ownership
Code V Amount (A) or (D) Price
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code 5. Number of Derivative Securities Acquired (A) or Disposed of (D) 6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security 8. Price of Derivative Security 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 11. Nature of Indirect Beneficial Ownership
Code V (A) (D) Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
SC US (TTGP), LTD.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SEQUOIA CAPITAL GLOBAL GROWTH FUND II, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SEQUOIA CAPITAL GLOBAL GROWTH II PRINCIPALS FUND, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SC Global Growth II Management, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SCGGF III - U.S./India Management, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
Sequoia Capital Global Growth Fund III - Endurance Partners, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SCGGF III - Endurance Partners Management, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SEQUOIA CAPITAL U.S. VENTURE FUND XIV, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SC U.S. VENTURE XIV MANAGEMENT, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X
SEQUOIA CAPITAL U.S. VENTURE PARTNERS FUND XIV, L.P.
2800 SAND HILL ROAD, SUITE 101

MENLO PARK, CA94025

X

Signatures

By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of SC US (TTGP), Ltd. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of Sequoia Capital Global Growth II Management, L.P. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of Sequoia Capital Global Growth II Management, L.P., the General Partner of Sequoia Capital Global Growth Fund II, L.P. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of Sequoia Capital Global Growth II Management, L.P., the General Partner of Sequoia Capital Global Growth II Principals Fund, L.P. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of SCGGF III - U.S./India Management, L.P. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of SCGGF III - Endurance Partners Management, L.P 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of SCGGF III - Endurance Partners Management, L.P, the General Partner of Sequoia Capital Global Growth Fund III - Endurance Partners, L.P. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of SC U.S. Venture XIV Management, L.P. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of SC U.S. Venture XIV Management, L.P., the General Partner of Sequoia Capital U.S. Venture Fund XIV, L.P. 2024-08-28
**Signature of Reporting Person Date
By: /s/ Jung Yeon Son, by power of attorney for Roelof Botha, a Director of SC U.S. Venture XIV Management, L.P., the General Partner of Sequoia Capital U.S. Venture Partners Fund XIV, L.P. 2024-08-28
**Signature of Reporting Person Date

Explanation of Responses:

(*) If the form is filed by more than one reporting person, see Instruction 5(b)(v).
(**) Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) Represents a pro rata distribution of Common Stock of the Issuer to partners or members of the applicable distributing fund for no consideration and includes subsequent distributions by general partners or managing members to their respective partners or members and, in certain cases, the contribution by such partners or members to the applicable recipient fund.
(2) SC US (TTGP), Ltd. is (i) the general partner of SC U.S. Venture XIV Management, L.P., which is the general partner of each of Sequoia Capital U.S. Venture Fund XIV, L.P., Sequoia Capital U.S. Venture Partners Fund XIV, L.P., and Sequoia Capital U.S. Venture Partners Fund XIV (Q), L.P., or collectively, the XIV Funds, which together own 100% of the outstanding ordinary shares of Sequoia Capital USV XIV Holdco, Ltd., or XIV Holdco; (ii) the general partner of SC U.S. Growth VI Management, L.P., which is the general partner of each of Sequoia Capital U.S. Growth Fund VI, L.P., and Sequoia Capital U.S. Growth VI Principals Fund, L.P., or collectively, the GF VI Funds; (iii) the general partner of SC U.S. Growth VII Management, L.P., which is the general partner of each of Sequoia Capital U.S. Growth Fund VII, L.P., and Sequoia Capital U.S. Growth VII Principals Fund, L.P., or collectively, the GF VII Funds;
(3) (Continue from Footnote 2) (iv) the general partner of SC Global Growth II Management, L.P., which is the general partner of each of Sequoia Capital Global Growth Fund II, L.P. and Sequoia Capital Global Growth II Principals Fund, L.P., or collectively, the GGF II Funds; (v) the general partner of SCGGF III - Endurance Partners Management, L.P., which is the general partner of Sequoia Capital Global Growth Fund III - Endurance Partners, L.P., or GGF III; (vi) the general partner of SCGGF III - U.S./India Management, L.P., or GGF III US IND MGMT; and (vi) the general partner of SC US/E Expansion Fund I Management, L.P., which is the general partner of Sequoia Capital US/E Expansion Fund I, L.P., collectively, the EXP I Funds. As a result, SC US (TTGP), Ltd. may be deemed to share voting and dispositive power with respect to the shares held by XIV Holdco, the GF VI Funds, the GF VII Funds, the GGF II Funds, GGF III, GGFIII US IND MGMT and the EXP I Funds.
(4) (Continue from Footnote 3) The directors and stockholders of SC US (TTGP), Ltd. who exercise voting and investment discretion with respect to the GGF II Funds, GGF III, and GGF III US IND MGMT are Douglas M. Leone and Roelof Botha. As a result, and by virtue of the relationships described in this paragraph, each such person may be deemed to share voting and dispositive power with respect to the shares held by the GGF II Funds, GGF III, and GGF III US INDMGMT. Each of the reporting persons disclaims beneficial ownership of the shares held by XIV Holdco, the GF VI Funds, the GF VII Funds, the GGF II Funds, GGF III, GGF III US IND MGMT and the EXP I Funds, as applicable, except to the extent of his or its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
(5) Sequoia Grove Manager, LLC is the manager of Sequoia Grove II, LLC and the general partner of Sequoia Grove UK, L.P. As a result, Sequoia Grove Manager, LLC may be deemed to share beneficial ownership with respect to the shares held by Sequoia Grove II, LLC and Sequoia Grove UK, L.P. Each of Sequoia Grove Manager, LLC, Sequoia Grove II, LLC and Sequoia Grove UK, L.P. disclaims beneficial ownership of the shares held by Sequoia Grove II, LLC or Sequoia Grove UK, L.P. except to the extent of its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purpose.
(6) SC US (TTGP), Ltd. is (i) the general partner of Sequoia Capital Fund Management, L.P., which is the general partner of Sequoia Capital Fund, LP (SCF) and the managing member of Sequoia Capital Fund Parallel, LLC (SCFP). As a result, SC US (TTGP), Ltd. may be deemed to share voting and dispositive power with respect to the shares held by SCF and SCFP. Each of the reporting persons disclaims beneficial ownership of the shares held by SCF and SCFP except to the extent of his or its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
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