0001104659-21-132540.txt : 20211101
0001104659-21-132540.hdr.sgml : 20211101
20211101214352
ACCESSION NUMBER: 0001104659-21-132540
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211028
FILED AS OF DATE: 20211101
DATE AS OF CHANGE: 20211101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HUEBNER ELIZABETH
CENTRAL INDEX KEY: 0001136845
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 211369051
MAIL ADDRESS:
STREET 1: C/O BLUE APRON HOLDINGS, INC.
STREET 2: 28 LIBERTY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10005
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: 28 LIBERTY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10005
BUSINESS PHONE: 347-719-4312
MAIL ADDRESS:
STREET 1: 28 LIBERTY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10005
4
1
tm2130039-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-10-28
0
0001701114
Blue Apron Holdings, Inc.
APRN
0001136845
HUEBNER ELIZABETH
C/O BLUE APRON HOLDINGS, INC.
28 LIBERTY STREET
NEW YORK
NY
10005
1
0
0
0
Class A Common Stock
2021-10-28
4
M
0
5761
10
A
36894
D
Subscription Rights (right to buy)
1.8505
2021-10-28
4
M
0
31133
0
D
2021-10-12
2021-10-28
Class A Common Stock
13826.8751
0
D
Warrants (right to buy)
15.00
2021-10-28
4
M
0
31133
0
A
2021-11-04
2028-11-06
Class A Common Stock
4609.0715
31133
D
Warrants (right to buy)
18.00
2021-10-28
4
M
0
31133
0
A
2021-11-04
2028-11-06
Class A Common Stock
2304.5357
31133
D
Warrants (right to buy)
20.00
2021-10-28
4
M
0
31133
0
A
2021-11-04
2028-11-06
Class A Common Stock
1152.2679
31133
D
The effective purchase price of the shares of Class A common stock and Warrants (as defined below) underlying the subscription rights issued in connection with the registrant's rights offering was $10.00 per share and associated Warrants.
Each subscription right issued in connection with the registrant's rights offering was exercisable for (i) 0.185055707113895 shares of the registrant's Class A common stock, (ii) one warrant to purchase 0.148044565691116 shares of the registrant's Class A common stock at an exercise price of $15.00 per share (a "$15 Warrant"), (iii) one warrant to purchase 0.074022282845558 shares of the registrant's Class A common stock at an exercise price of $18.00 per share (an "$18 Warrant"), and (iv) one warrant to purchase 0.037011141422779 shares of the registrant's Class A common stock at an exercise price of $20.00 per share (a "$20 Warrant" and, collectively with the $15 Warrants and $18 Warrants, the "Warrants").
The number of shares reported here reflects the number of shares of Class A common stock to be issued to the reporting person in connection with the exercise of the subscription rights as well as the shares of Class A common stock underlying the Warrants issued to the reporting person in connection with the exercise of the subscription rights. The closing of the rights offering and the issuance of the Class A common stock and Warrants are expected to be on or about November 4, 2021.
Each $15 Warrant to be issued to the reporting person is exercisable for 0.148044565691116 shares of the registrant's Class A common stock. The number of shares of Class A common stock reported in Column 7 is rounded to the nearest ten-thousandth, but the actual number of shares of Class A common stock underlying the $15 Warrant is 4,609.07146366152 shares, which number is subject to adjustment in certain circumstances in accordance with the terms of the $15 Warrant. The $15 Warrants are only exercisable for whole shares of Class A common stock.
Each $18 Warrant to be issued to the reporting person is exercisable for 0.074022282845558 shares of the registrant's Class A common stock. The number of shares of Class A common stock reported in Column 7 is rounded to the nearest ten-thousandth, but the actual number of shares of Class A common stock underlying the $18 Warrant is 2,304.53573183076 shares, which number is subject to adjustment in certain circumstances in accordance with the terms of the $18 Warrant. The $18 Warrants are only exercisable for whole shares of Class A common stock.
Each $20 Warrant to be issued to the reporting person is exercisable for 0.037011141422779 shares of the registrant's Class A common stock. The number of shares of Class A common stock reported in Column 7 is rounded to the nearest ten-thousandth, but the actual number of shares of Class A common stock underlying the warrant is 1,152.26786591538 shares, which number is subject to adjustment in certain circumstances in accordance with the terms of the $20 Warrant. The $20 Warrants are only exercisable for whole shares of Class A common stock.
/s/ Meredith Deutsch, as attorney-in-fact for Elizabeth Huebner
2021-11-01