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