Form 4 Uber Technologies, Inc For: Sep 16 Filed by: Hazelbaker Jill

September 20, 2021 7:45 PM EDT

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FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person *
Hazelbaker Jill

(Last) (First) (Middle)
1515 3RD STREET

(Street)
SAN FRANCISCO CA 94158

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Uber Technologies, Inc [ UBER ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
3. Date of Earliest Transaction (Month/Day/Year)
09/16/2021
4. 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 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
Common Stock 09/16/2021   M   2,863 A (1) 163,958 D  
Common Stock 09/16/2021   M   4,669 A (1) 168,627 D  
Common Stock 09/16/2021   M   2,437 A (1) 171,064 D  
Common Stock 09/16/2021   F (2)   2,315 D $ 39.52 168,749 D  
Common Stock 09/16/2021   F (2)   1,420 D $ 39.52 167,329 D  
Common Stock 09/16/2021   F (2)   1,209 D $ 39.52 166,120 D  
Common Stock 09/16/2021   F (2)   729 D $ 39.52 165,391 D  
Common Stock               2,081 I Trust (3)
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 Securities Underlying Derivative Security (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: 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
Restricted Stock Units (1) 09/16/2021   M     2,863   (4)   (4) Common Stock 2,863 $ 0 62,972 D  
Restricted Stock Units (1) 09/16/2021   M     2,437   (5)   (5) Common Stock 2,437 $ 0 73,128 D  
Restricted Stock Units (1) 09/16/2021   M     4,669   (6)   (6) Common Stock 4,669 $ 0 158,772 D  
Explanation of Responses:
1. Restricted stock units convert into common stock on a one-for-one basis.
2. Shares withheld to satisfy tax liability upon vesting of restricted stock units on September 16, 2021.
3. Shares are held by the Franks 2021 Irrevocable Trust of which the beneficiaries are members of Ms. Hazelbaker's immediate family.
4. The reporting person was granted 114,495 restricted stock units (RSUs) on August 1, 2019. The vesting schedule is as follows: 1/10th on July 16, 2020 and then 1/40 of the total RSUs each month thereafter. Upon vesting, the RSUs become payable in cash or common stock on a one-for-one basis at the election of the issuer.
5. The reporting person was granted 117,004 restricted stock units (RSUs) on March 2, 2020. The vesting schedule is as follows: 12/48 of the total RSUs on March 16, 2021 and 1/48 of the total RSUs each month thereafter. Upon vesting, the RSUs become payable in cash or common stock on a one-for-one basis at the election of the issuer.
6. The reporting person was granted 224,148 restricted stock units (RSUs) on July 29, 2020. The vesting schedule is as follows: 4/48 of the total RSUs on November 16, 2020 and 1/48 of the total RSUs each month thereafter. Upon vesting, the RSUs become payable in cash or common stock on a one-for-one basis at the election of the issuer.
Remarks:
SVP, Marketing and Public Affairs.
/s/ Tony West by Power of Attorney for Jill Hazelbaker 09/20/2021
** 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 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).
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.


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