0001104659-21-081125.txt : 20210615
0001104659-21-081125.hdr.sgml : 20210615
20210615063658
ACCESSION NUMBER: 0001104659-21-081125
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210614
FILED AS OF DATE: 20210615
DATE AS OF CHANGE: 20210615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Salzberg Barry
CENTRAL INDEX KEY: 0001710379
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 211016844
MAIL ADDRESS:
STREET 1: 5 CROSBY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10013
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
tm2119720-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-06-14
0
0001701114
Blue Apron Holdings, Inc.
APRN
0001710379
Salzberg Barry
C/O BLUE APRON HOLDINGS, INC.
28 LIBERTY STREET
NEW YORK
NY
10005
1
0
1
0
Restricted Stock Units
2021-06-14
4
A
0
12494
0
A
Class A Common Stock
12494
12494
D
Each restricted stock unit ("RSU") represents a contingent right to receive one share of Class A Common Stock.
The RSUs are scheduled to vest in full on the earlier of June 14, 2022 and the date of the issuer's 2022 annual meeting of stockholders. The Reporting Person has elected to defer settlement of the shares of Class A common stock underlying these RSUs until the earlier of (i) 30 days following the Reporting Person's "separation from service" with the issuer and (ii) a "change in control event," each as defined under Section 409A of the Internal Revenue Code of 1986, as amended.
/s/ Meredith Deutsch, as attorney-in-fact for Barry Salzberg
2021-06-15