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