0001104659-17-044119.txt : 20170707 0001104659-17-044119.hdr.sgml : 20170707 20170707180642 ACCESSION NUMBER: 0001104659-17-044119 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170705 FILED AS OF DATE: 20170707 DATE AS OF CHANGE: 20170707 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: Salzberg Matthew B CENTRAL INDEX KEY: 0001710351 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 17956014 MAIL ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 4 1 a4.xml 4 X0306 4 2017-07-05 0 0001701114 Blue Apron Holdings, Inc. APRN 0001710351 Salzberg Matthew B C/O BLUE APRON HOLDINGS, INC. 5 CROSBY STREET NEW YORK NY 10013 1 1 1 0 President, CEO and Chairman Restricted Stock Units 2017-07-05 4 A 0 250000 0 A Class A Common Stock 250000 250000 D Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock. The restricted stock units are scheduled to vest over four years, with 10% of the restricted stock units vesting on the first anniversary of July 5, 2017, 20% of the restricted stock units vesting on the second anniversary of July 5, 2017, 30% of the restricted stock units vesting on the third anniversary of July 5, 2017 and 40% of the restricted stock units vesting on the fourth anniversary of July 5, 2017. /s/ Benjamin C. Singer, as attorney-in-fact for Matthew B. Salzberg 2017-07-07