0001104659-21-081138.txt : 20210615 0001104659-21-081138.hdr.sgml : 20210615 20210615064516 ACCESSION NUMBER: 0001104659-21-081138 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: Faricy Peter CENTRAL INDEX KEY: 0001753932 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 211016852 MAIL ADDRESS: STREET 1: C/O DISCOVERY, INC. STREET 2: 8403 COLESVILLE ROAD CITY: SILVER SPRING STATE: MD ZIP: 20910 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 tm2119720-6_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-06-14 0 0001701114 Blue Apron Holdings, Inc. APRN 0001753932 Faricy Peter C/O BLUE APRON HOLDINGS, INC. 28 LIBERTY STREET NEW YORK NY 10005 1 0 0 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. /s/ Meredith Deutsch, as attorney-in-fact for Peter Faricy 2021-06-15