DoorDash Inc.

11/13/2024 | Press release | Distributed by Public on 11/13/2024 15:06

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).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
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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OMB Number: 3235-0287 Estimated average burden hours per response... 0.5
(Print or Type Responses)
1. Name and Address of Reporting Person *
Xu Tony
2. Issuer Name and Ticker or Trading Symbol
DoorDash, Inc. [DASH]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
CHIEF EXECUTIVE OFFICER
(Last) (First) (Middle)
C/O DOORDASH, INC., 303 2ND STREET, SOUTH TOWER, 8TH FLOOR
3. Date of Earliest Transaction (Month/Day/Year)
11/11/2024
(Street)
SAN FRANCISCO, CA 94107
4. If Amendment, Date Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
_X_ Form filed by One Reporting Person
___ 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
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 11/11/2024 J(1) 120,000 A $ 0 120,000 D
Class A Common Stock 11/11/2024 G 118,500 D $ 0 1,500 D
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. SEC 1474 (9-02)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
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
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (2) 11/11/2024 J(1) 120,000 (2) (2) Class A Common Stock 120,000 $ 0 3,238,536(3)(4) D
Class B Common Stock (2) (2) (2) Class A Common Stock 1,643,690 1,643,690 I See footnote(5)
Class B Common Stock (2) (2) (2) Class A Common Stock 305,425 305,425 I See footnote(6)
Class B Common Stock (2) (2) (2) Class A Common Stock 305,425 305,425 I See footnote(7)
Class B Common Stock (2) (2) (2) Class A Common Stock 1,744,157 1,744,157 I See footnote(8)
Class B Common Stock (2) (2) (2) Class A Common Stock 2,113,302 2,113,302(3) I See footnote(9)
Class B Common Stock (2) (2) (2) Class A Common Stock 288,650 288,650 I See footnote(10)

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Xu Tony
C/O DOORDASH, INC.
303 2ND STREET, SOUTH TOWER, 8TH FLOOR
SAN FRANCISCO, CA 94107
X X CHIEF EXECUTIVE OFFICER

Signatures

/s/ Brendan Brown, by power of attorney 11/13/2024
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(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) Shares of Class B Common Stock were exchanged at a 1:1 ratio for shares of Class A Common Stock at the election of the Reporting Person.
(2) Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
(3) Includes shares previously reported as indirectly owned through The Article 2 Trust under TXX Annuity Trust #2 and subsequently distributed to the Reporting Person and The Article 3 Trust under TXX Annuity Trust #2.
(4) Includes shares previously reported as indirectly owned through The Article 2 Trust under TXX Annuity Trust #3 and subsequently distributed to the Reporting Person.
(5) The shares are held by The Article 2 Trust under TXX Annuity Trust #3 for which the Reporting Person serves as a trustee.
(6) The shares are held by The Article 3 Trust under OBX Family Trust for which the Reporting Person serves as a trustee.
(7) The shares are held by The Article 3 Trust under TBX Family Trust for which the Reporting Person serves as a trustee.
(8) The shares are held by The Article 3 Trust under TXX Annuity Trust #1 for which the Reporting Person's spouse serves as a trustee.
(9) The shares are held by The Article 3 Trust under TXX Annuity Trust #2 for which the Reporting Person's spouse serves as a trustee.
(10) The shares are held by The Article 4 Trust under Library Trust for which the Reporting Person's spouse serves as a trustee.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.