Sec Form 4 Filing - Fang Andy @ DoorDash Inc - 2020-12-11

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Fang Andy
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
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O DOORDASH, INC., 303 2ND STREET, SOUTH TOWER, 8TH FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
12/11/2020
(Street)
SAN FRANCISCO, CA94107
4. If Amendment, Date Original Filed (MM/DD/YY)
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 (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Common Stock 12/11/2020 J( 1 ) 211,355 D 0 D
Common Stock 12/11/2020 J( 2 ) 494,524 ( 3 ) D 0 I See footnote ( 4 )
Common Stock 12/11/2020 J( 2 ) 3,737,500 D 0 I See footnote ( 5 )
Common Stock 12/11/2020 J( 2 ) 6,014,836 ( 6 ) D 0 I See footnote ( 7 )
Class A Common Stock 12/11/2020 J( 1 ) 211,355 A 211,355 D
Class A Common Stock 12/11/2020 J( 2 ) 494,524 A 494,524 I See footnote ( 4 )
Class A Common Stock 12/11/2020 J( 2 ) 3,737,500 A 3,737,500 I See footnote ( 5 )
Class A Common Stock 12/11/2020 J( 2 ) 6,014,836 A 6,014,836 I See footnote ( 7 )
Class A Common Stock 12/11/2020 J( 8 ) 494,524 D 0 I See footnote ( 4 )
Class A Common Stock 12/11/2020 J( 8 ) 3,737,500 D 0 I See footnote ( 5 )
Class A Common Stock 12/11/2020 J( 8 ) 6,014,836 D 0 I See footnote ( 7 )
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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 ( 9 ) 12/11/2020 J( 8 ) 494,524 ( 9 ) ( 9 ) Class A Common Stock 494,524 $ 0 494,524 I See footnote ( 4 )
Class B Common Stock ( 9 ) 12/11/2020 J( 8 ) 3,737,500 ( 9 ) ( 9 ) Class A Common Stock 3,737,500 $ 0 3,737,500 I See footnote ( 5 )
Class B Common Stock ( 9 ) 12/11/2020 J( 8 ) 6,014,836 ( 9 ) ( 9 ) Class A Common Stock 6,014,836 $ 0 6,014,836 I See footnote ( 7 )
Stock Option (right to buy) $ 0.2 12/11/2020 J( 10 ) 2,888,390 ( 11 ) 06/25/2024 Common Stock 2,888,390 $ 0 0 D
Stock Option (right to buy) $ 0.2 12/11/2020 J( 10 ) 2,888,390 ( 11 ) 06/25/2024 Class A Common Stock 2,888,390 $ 0 2,888,390 D
Stock Option (right to buy) $ 7.16 12/11/2020 J( 10 ) 179,425 ( 12 ) 10/09/2028 Common Stock 179,425 $ 0 0 D
Stock Option (right to buy) $ 7.16 12/11/2020 J( 10 ) 179,425 ( 12 ) 10/09/2028 Class A Common Stock 179,425 $ 0 179,425 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Fang Andy
C/O DOORDASH, INC.
303 2ND STREET, SOUTH TOWER, 8TH FLOOR
SAN FRANCISCO, CA94107
X X
Signatures
/s/ Keith Yandell, by power of attorney 12/15/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The shares are represented by restricted stock units. Immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, each share of Common Stock was reclassified into one share of Class A Common Stock and each share of Class A Common Stock issued following the vesting and settlement of an RSU may be exchanged at a 1:1 ratio for a share of Class B Common Stock at the election of the holder.
( 2 )Pursuant to a reclassification exempt under Rule 16b-7, each share of Common Stock was automatically reclassified into one share of Class A Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock.
( 3 )Excludes 42,976 shares previously reported as held directly by The 2019 Fang Grantor Retained Annuity Trust UTA dated 9/4/19 for which the reporting person serves as the trustee (the "2019 GRAT"), which were re-registered on December 11, 2020 and are now held directly by The AF Living Trust UTA dated 9/4/19 for which the reporting person serves as the trustee (the "Living Trust").
( 4 )The shares are held by the 2019 GRAT.
( 5 )The shares are held by The 2020 Fang Grantor Retained Annuity Trust UTA dated 6/1/2020 for which the reporting person serves as the trustee.
( 6 )Includes 42,976 shares previously reported as held directly by the 2019 GRAT, which were re-registered on December 11, 2020 and are now held directly by the Living Trust.
( 7 )The shares are held by the Living Trust.
( 8 )Following the reclassification of Common Stock into Class A Common Stock, all shares of Class A Common Stock were exchanged at a 1:1 ratio for shares of Class B Common Stock in a transaction previously approved by the Issuer's board of directors.
( 9 )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.
( 10 )Immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, each share of Common Stock was reclassified into one share of Class A Common Stock and upon exercise of the option, such shares of Class A Common Stock may be exchanged at a 1:1 ratio for shares of Class B Common Stock at the election of the holder.
( 11 )The shares underlying the option are fully vested and immediately exercisable.
( 12 )One-fourth of the shares underlying the option vested on October 1, 2019 and 1/48th of the shares vest monthly thereafter.

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