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
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1. Name and Address of Reporting Person*
Anand Gaurav

(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)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
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 2,220,750(1) D
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
Stock Option (right to buy) (2) 11/16/2027 Class A Common Stock 18,750 1.93 D
Stock Option (right to buy) (3) 05/16/2028 Class A Common Stock 150,000 1.98 D
Stock Option (right to buy) (4) 05/15/2029 Class A Common Stock 2,478,000 1.99 D
Explanation of Responses:
1. Includes 1,267,500 Restricted Stock Units (RSUs). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. 267,500 of the RSUs are fully vested. 5% of the remaining 1,000,000 RSUs vested on March 1, 2021, and vest on each quarterly anniversary thereafter.
2. 25% of the shares subject to the stock option vested on October 1, 2018, 25% of the shares vested on October 1, 2019, and 6.25% vest on each quarterly anniversary thereafter. The original stock option for 100,000 shares was exercised for an aggregate of 81,250 shares between October 21, 2020 and January 11, 2021.
3. 10% of the shares subject to the stock option vested on March 1, 2019, and 6.25% vest on each quarterly anniversary thereafter. The original stock option for 300,000 shares was exercised for an aggregate of 150,000 shares between October 21, 2020 and January 4, 2021.
4. 10.8% of the shares subject to the stock option vested on May 1, 2020, and 6.25% vest on each quarterly anniversary thereafter. The original stock option for 3,000,000 shares was exercised for an aggregate of 522,000 shares between October 30, 2020 and November 12, 2020.
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.