FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/04/2021 |
3. Issuer Name and Ticker or Trading Symbol
Blue Apron Holdings, Inc. [ APRN ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Class A Common Stock | 214,293 | D | |
Class A Common Stock | 6,362,783(1) | I | By RJB Partners LLC |
Class A Common Stock | 1,250(2) | I | By Aspiration Growth Opportunities II GP, LLC |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrants (right to buy) | 11/04/2021 | 11/06/2028 | Class A Common Stock | 5,012,354.5822(3) | $15 | I | By RJB Partners LLC |
Warrants (right to buy) | 11/04/2021 | 11/06/2028 | Class A Common Stock | 2,506,177.2911(4) | $18 | I | By RJB Partners LLC |
Warrants (right to buy) | 11/04/2021 | 11/06/2028 | Class A Common Stock | 1,253,088.6455(5) | $20 | I | By RJB Partners LLC |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. These securities are owned directly by RJB Partners LLC ("RJB Partners"), a 10% owner of the Issuer, and owned indirectly by Mr. Joseph N. Sanberg, as the managing member of RJB Partners. Mr. Joseph N. Sanberg disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all the reported securities for purposes of Section 16 or for any other purpose. |
2. These securities are owned directly by Aspiration Growth Opportunities II GP, LLC ("AGO II"), and owned indirectly by Mr. Joseph N. Sanberg, as the managing member of AGO II. Mr. Joseph N. Sanberg disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all the reported securities for purposes of Section 16 or for any other purpose. |
3. The amount reported reflects warrants ("$15 Warrants") exercisable for an aggregate of 5,012,354.58219726 shares of Class A common stock, which number is subject to adjustment in certain circumstances in accordance with the terms of the $15 Warrants. The number of shares of Class A common stock reported in Column 3 is rounded to the nearest ten-thousandth. These $15 Warrants were purchased by RJB Partners on November 4, 2021 in connection with the closing of the transactions contemplated by the Purchase Agreement, dated as of September 15, 2021, by and among the Issuer, RJB Partners and Matthew B. Salzberg. These $15 Warrants are only exercisable for whole shares of Class A common stock. |
4. The amount reported reflects warrants ("$18 Warrants") exercisable for an aggregate of 2,506,177.29109863 shares of Class A common stock, which number is subject to adjustment in certain circumstances in accordance with the terms of the $18 Warrants. The number of shares of Class A common stock reported in Column 3 is rounded to the nearest ten-thousandth. These $18 Warrants were purchased by RJB Partners on November 4, 2021 in connection with the closing of the transactions contemplated by the Purchase Agreement, dated as of September 15, 2021, by and among the Issuer, RJB Partners and Matthew B. Salzberg. These $18 Warrants are only exercisable for whole shares of Class A common stock. |
5. The amount reported reflects warrants ("$20 Warrants") exercisable for an aggregate of 1,253,088.64554932 shares of Class A common stock, which number is subject to adjustment in certain circumstances in accordance with the terms of the $20 Warrants. The number of shares of Class A common stock reported in Column 3 is rounded to the nearest ten-thousandth. These $20 Warrants were purchased by RJB Partners on November 4, 2021 in connection with the closing of the transactions contemplated by the Purchase Agreement, dated as of September 15, 2021, by and among the Issuer, RJB Partners and Matthew B. Salzberg. These $20 Warrants are only exercisable for whole shares of Class A common stock. |
Remarks: |
Joseph N. Sanberg is the managing member of AGO II, which directly owns 1,250 shares of Class A common stock. Mr. Joseph N. Sanberg disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of all the reported securities for purposes of Section 16 or for any other purpose. |
/s/ Joseph N. Sanberg, Name: Joseph N. Sanberg | 11/15/2021 | |
RJB Partners LLC, /s/ Joseph N. Sanberg, Name: Joseph N. Sanberg, Title: Managing Member. | 11/15/2021 | |
Aspiration Growth Opportunities II GP, LLC, /s/ Joseph N. Sanberg, Name: Joseph N. Sanberg, Title: Managing Member. | 11/15/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |