0001104659-21-089428.txt : 20210706 0001104659-21-089428.hdr.sgml : 20210706 20210706161936 ACCESSION NUMBER: 0001104659-21-089428 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210702 FILED AS OF DATE: 20210706 DATE AS OF CHANGE: 20210706 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: 211074338 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 tm2121271d1_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-07-02 0 0001701114 Blue Apron Holdings, Inc. APRN 0001710351 Salzberg Matthew B C/O BLUE APRON HOLDINGS, INC. 28 LIBERTY STREET NEW YORK NY 10005 1 0 1 0 Class A Common Stock 2021-07-02 4 M 0 4167 A 141132 D Restricted Stock Units 2021-07-02 4 M 0 4167 0 D Class A Common Stock 4167 0 D Restricted stock units ("RSUs") convert into Class A Common Stock on a one-for-one basis. This transaction represents the settlement of RSUs in shares of Class A Common Stock on their scheduled vesting date. On July 5, 2017, the reporting person was granted 16,666 restricted stock units, vesting over four years in equal annual installments, with 25% of the restricted stock units vesting on the first anniversary of July 5, 2017, 25% of the restricted stock units vesting on the second anniversary of July 5, 2017, 25% of the restricted stock units vesting on the third anniversary of July 5, 2017 and 25% of the restricted stock units vesting on the fourth anniversary of July 5, 2017. /s/ Meredith Deutsch, as attorney-in-fact for Matthew B. Salzberg 2021-07-06