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