0001104659-22-071019.txt : 20220614
0001104659-22-071019.hdr.sgml : 20220614
20220614161927
ACCESSION NUMBER: 0001104659-22-071019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220613
FILED AS OF DATE: 20220614
DATE AS OF CHANGE: 20220614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carmichael Beverly K
CENTRAL INDEX KEY: 0001595833
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 221015111
MAIL ADDRESS:
STREET 1: 305 HARTMANN DRIVE
CITY: LEBANON
STATE: TN
ZIP: 37087
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
tm2218334-5_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-06-13
0
0001701114
Blue Apron Holdings, Inc.
APRN
0001595833
Carmichael Beverly K
C/O BLUE APRON HOLDINGS, INC.
28 LIBERTY STREET
NEW YORK
NY
10005
1
0
0
0
Restricted Stock Units
2022-06-13
4
A
0
19293
0
A
Class A Common Stock
19293
19293
D
Each restricted stock unit ("RSU") represents a contingent right to receive one share of Class A Common Stock.
The RSUs are scheduled to vest in full on the earlier of June 13, 2023 and the date of the issuer's 2023 annual meeting of stockholders. The Reporting Person has elected to defer settlement of the shares of Class A common stock underlying these RSUs until the earlier of (i) 30 days following the Reporting Person's "separation from service" with the issuer and (ii) a "change in control event," each as defined under Section 409A of the Internal Revenue Code of 1986, as amended.
/s/ Meredith Deutsch, as attorney-in-fact for Beverly Carmichael
2022-06-14