0001104659-21-127180.txt : 20211018 0001104659-21-127180.hdr.sgml : 20211018 20211018161647 ACCESSION NUMBER: 0001104659-21-127180 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211015 FILED AS OF DATE: 20211018 DATE AS OF CHANGE: 20211018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carr-Smith Jennifer CENTRAL INDEX KEY: 0001828401 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 211328452 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 tm2130039-2_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-10-15 0 0001701114 Blue Apron Holdings, Inc. APRN 0001828401 Carr-Smith Jennifer C/O BLUE APRON HOLDINGS, INC. 28 LIBERTY STREET NEW YORK NY 10005 1 0 0 0 Class A Common Stock 2021-10-15 4 M 0 6080 A 6080 D Restricted Stock Units 2021-10-15 4 M 0 6080 0 D Class A Common Stock 6080 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 October 15, 2020, the reporting person was granted 6,080 RSUs, vesting in full on the one-year anniversary of October 15, 2020. /s/ Meredith Deutsch, as attorney-in-fact for Jennifer Carr-Smith 2021-10-18