11/13/2024 | Press release | Distributed by Public on 11/13/2024 15:06
FORM 4
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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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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) |
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) |
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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 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 |
/s/ Brendan Brown, by power of attorney | 11/13/2024 |
**Signature of Reporting Person | Date |
* | 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. |