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