SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF 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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Christensen Matthew

(Last) (First) (Middle)
C/O COUPANG, INC.
TOWER 730, 570, SONGPA-DAERO, SONGPA-GU

(Street)
SEOUL M5 05510

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/10/2021
3. Issuer Name and Ticker or Trading Symbol
Coupang, Inc. [ CPNG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of 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
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 58,839,499 I By Disruptive Innovation Fund, L.P.(1)
Class A Common Stock 5,256,090 I By DIF Coupang, L.P.(1)
Class A Common Stock 9,363,600 I By DIF Coupang II, L.P.(1)
Class A Common Stock 3,663,480 I By DIF Coupang III, L.P.(1)
Class A Common Stock 2,922,924 I By DIF Coupang IV, L.P.(1)
Class A Common Stock 6,666,667 I By DIF Coupang V, LLC(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Disruptive Innovation GP, LLC is the General Partner of Disruptive Innovation Fund, L.P., DIF Coupang, L.P., DIF Coupang II, L.P., and DIF Coupang III, L.P. DIF Coupang IV GP, LLC is the General Partner of DIF Coupang IV, L.P. Rose Park Advisors, LLC is the Manager of DIF Coupang V, LLC. Matthew Christensen is the Manager of Disruptive Innovation GP, LLC and Rose Park Advisors, LLC, and is the Managing Member of DIF Coupang IV GP, LLC, and may be deemed to have voting and dispositive power over the shares of the Company held by the previously listed entities.
Remarks:
/s/ Emily Epstein, Attorney-in-Fact 03/10/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.