0001104659-17-054334.txt : 20170829 0001104659-17-054334.hdr.sgml : 20170829 20170829205808 ACCESSION NUMBER: 0001104659-17-054334 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170825 FILED AS OF DATE: 20170829 DATE AS OF CHANGE: 20170829 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HIRSHBERG GARY CENTRAL INDEX KEY: 0001051258 STANDARD INDUSTRIAL CLASSIFICATION: WOMEN'S, MISSES', CHILDREN'S & INFANTS' UNDERGARMENTS [2340] STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 171059152 MAIL ADDRESS: STREET 1: 3 SIXTH STREET CITY: FRENCHTOWN STATE: NJ ZIP: 08825 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Apron Holdings, Inc. CENTRAL INDEX KEY: 0001701114 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 814777373 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 347-719-4312 MAIL ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 4 1 a4.xml 4 X0306 4 2017-08-25 0 0001701114 Blue Apron Holdings, Inc. APRN 0001051258 HIRSHBERG GARY C/O BLUE APRON HOLDINGS, INC. 5 CROSBY STREET NEW YORK NY 10013 1 0 0 0 Restricted Stock Units 2017-08-25 4 A 0 23234 0 A Class A Common Stock 23234 23234 D Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock. The restricted stock units are scheduled to vest in full on the earlier of August 25, 2018 or the date of the issuer's 2018 annual meeting of stockholders. /s/ Benjamin C. Singer, as attorney-in-fact for Gary R. Hirshberg 2017-08-29