0001104659-17-042224.txt : 20170628 0001104659-17-042224.hdr.sgml : 20170628 20170628211307 ACCESSION NUMBER: 0001104659-17-042224 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170628 FILED AS OF DATE: 20170628 DATE AS OF CHANGE: 20170628 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Singer Benjamin C CENTRAL INDEX KEY: 0001710257 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 17936619 MAIL ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 3 1 a3.xml 3 X0206 3 2017-06-28 0 0001701114 Blue Apron Holdings, Inc. APRN 0001710257 Singer Benjamin C C/O BLUE APRON HOLDINGS, INC. 5 CROSBY STREET NEW YORK NY 10013 0 1 0 0 General Counsel and Secretary Stock Option (right to buy) 1.25 2024-11-09 Class B Common Stock 450000 D Stock Option (right to buy) 7.04 2027-03-12 Class B Common Stock 27500 D This option was granted on November 10, 2014. The shares underlying the option are scheduled to vest over four years, with 25% of the shares vesting on the first anniversary of November 10, 2014 and the remainder vesting over the ensuing three years in equal monthly installments. The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis and has no expiration date. Upon the closing of the issuer's initial public offering of its Class A Common Stock pursuant to a registration statement on Form S-1 (File No. 333-218425) under the Securities Act of 1933, as amended, the Class B Common Stock will also be convertible into the issuer's Class A Common Stock on the same basis upon certain transfers of such shares and at the holder's election. This option was granted on March 13, 2017. The shares underlying the option are scheduled to vest in equal monthly installments over four years from February 19, 2017. /s/ Benjamin C. Singer 2017-06-28