0001104659-21-073371.txt : 20210527
0001104659-21-073371.hdr.sgml : 20210527
20210527173137
ACCESSION NUMBER: 0001104659-21-073371
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210525
FILED AS OF DATE: 20210527
DATE AS OF CHANGE: 20210527
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Leitgeb Terri
CENTRAL INDEX KEY: 0001855328
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 21974459
MAIL ADDRESS:
STREET 1: 28 LIBERTY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10005
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
tm2117738-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-05-25
0
0001701114
Blue Apron Holdings, Inc.
APRN
0001855328
Leitgeb Terri
C/O BLUE APRON HOLDINGS, INC.
28 LIBERTY STREET
NEW YORK
NY
10005
0
1
0
0
Chief People Officer
Performance Stock Unit
2021-05-25
4
A
0
42000
0
A
Class A Common Stock
42000
42000
D
Each performance stock unit ("PSU") represents a right to receive one share of Class A Common Stock.
On May 25, 2021, the reporting person was granted 42,000 PSUs. Vesting of 50%, 25% and 25% of the PSUs is subject to the issuer's Class A Common Stock achieving certain minimum unweighted closing prices per share averaged over a 30 consecutive trading day period prior to May 25, 2024. PSUs that meet the stock price targets referred to in the prior sentence will vest (i) 50% on the later to occur of (A) the date a stock price target is met and (B) May 25, 2022 and (ii) 50% on May 25, 2024. Any PSUs that have not achieved the performance targets by May 25, 2024 shall expire and have no further force or effect.
/s/ Meredith L. Deutsch, as attorney-in-fact for Terri Leitgeb
2021-05-27