0001701114-23-000024.txt : 20230324
0001701114-23-000024.hdr.sgml : 20230324
20230324160749
ACCESSION NUMBER: 0001701114-23-000024
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230323
FILED AS OF DATE: 20230324
DATE AS OF CHANGE: 20230324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carmichael Beverly K
CENTRAL INDEX KEY: 0001595833
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 23759932
MAIL ADDRESS:
STREET 1: 305 HARTMANN DRIVE
CITY: LEBANON
STATE: TN
ZIP: 37087
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
wf-form4_167968845583832.xml
FORM 4
X0407
4
2023-03-23
0
0001701114
Blue Apron Holdings, Inc.
APRN
0001595833
Carmichael Beverly K
C/O BLUE APRON HOLDINGS, INC.
28 LIBERTY STREET
NEW YORK
NY
10005
1
0
0
0
0
Class A Common Stock
2023-03-23
4
M
0
2674
A
2674
D
Restricted Stock Units
2023-03-23
4
M
0
2674
0
D
Class A Common Stock
2674.0
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 March 25, 2022, the Reporting Person was granted 2,674 RSUs, vesting in full on the one-year anniversary of March 23, 2022. Due to an administrative error, the Reporting Person filed a Form 4 reporting a grant of 9,116 RSUs instead of 2,674 RSUs.
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 Beverly Carmichael
2023-03-24