0001209191-18-012488.txt : 20180222
0001209191-18-012488.hdr.sgml : 20180222
20180222165259
ACCESSION NUMBER: 0001209191-18-012488
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180220
FILED AS OF DATE: 20180222
DATE AS OF CHANGE: 20180222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: First Round Capital Management IV, L.P.
CENTRAL INDEX KEY: 0001710038
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 18633254
BUSINESS ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
BUSINESS PHONE: (610) 834-1461
MAIL ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: First Round Capital Management IV, LLC
CENTRAL INDEX KEY: 0001710037
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 18633253
BUSINESS ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
BUSINESS PHONE: (610) 834-1461
MAIL ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: First Round Capital IV Partners Fund, L.P.
CENTRAL INDEX KEY: 0001547073
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 18633255
BUSINESS ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
BUSINESS PHONE: 610-834-1461
MAIL ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: First Round Capital IV, L.P.
CENTRAL INDEX KEY: 0001547069
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 18633256
BUSINESS ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
BUSINESS PHONE: 610-834-1461
MAIL ADDRESS:
STREET 1: 4040 LOCUST STREET
CITY: PHILADELPHIA
STATE: PA
ZIP: 19104
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-02-20
0
0001701114
Blue Apron Holdings, Inc.
APRN
0001547069
First Round Capital IV, L.P.
4040 LOCUST STREET
PHILADELPHIA
PA
19104
0
0
1
0
0001547073
First Round Capital IV Partners Fund, L.P.
4040 LOCUST STREET
PHILADELPHIA
PA
19104
0
0
1
0
0001710038
First Round Capital Management IV, L.P.
4040 LOCUST STREET
PHILADELPHIA
PA
19104
0
0
1
0
0001710037
First Round Capital Management IV, LLC
4040 LOCUST STREET
PHILADELPHIA
PA
19104
0
0
1
0
Class A Common Stock
2018-02-20
4
J
0
2730393
0.00
D
0
D
Class A Common Stock
2018-02-20
4
J
0
47688
0.00
D
0
I
See Footnote
Represents a pro-rata, in-kind distribution by First Round Capital IV, L.P. ("FRC IV LP"), without additional consideration, too its partners, members and assigns.
The reported shares are directly owned by FRC IV LP. First Round Capital Management IV, L.P., the general partner of FRC IV LP, and First Round Capital Management IV, LLC, the general partner of First Round Capital Management IV, L.P., have sole dispositive and voting power of the shares directly owned by FRC IV LP. Such entities disclaim beneficial ownership over the shares held by FRC IV LP except to the extent of any pecuniary interest therein.
Represents a pro-rata, in-kind distribution by First Round Capital IV Partners Fund, L.P. ("FRC IV Partners LP"), without additional consideration, to its partners, members and assigns.
The reported shares are owned directly by FRC IV Partners LP. First Round Capital Management IV, L.P., the general partner of FRC IV Partners LP, and First Round Capital Management IV, LLC, the general partner of First Round Capital Management IV, L.P., have sole dispositive and voting power of the shares directly owned by FRC IV Partners LP. Such entities disclaim beneficial ownership over the shares held by FRC IV Partners LP except to the extent of any pecuniary interest therein.
/s/ Jeffrey Donnon, Attorney-in-Fact for First Round Capital IV, L.P.
2018-02-22
/s/ Jeffrey Donnon, Attorney-in-Fact for First Round Capital IV Partners Fund, L.P.
2018-02-22
/s/ Jeffrey Donnon, Attorney-in-Fact for First Round Capital Management IV, L.P.
2018-02-22
/s/ Jeffrey Donnon, Attorney-in-Fact for First Round Capital Management IV, LLC
2018-02-22