0001104659-17-071219.txt : 20171130 0001104659-17-071219.hdr.sgml : 20171130 20171130213430 ACCESSION NUMBER: 0001104659-17-071219 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171125 FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cussatti Pablo CENTRAL INDEX KEY: 0001710333 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 171232575 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: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 347-719-4312 MAIL ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 4 1 a4.xml 4 X0306 4 2017-11-25 0 0001701114 Blue Apron Holdings, Inc. APRN 0001710333 Cussatti Pablo C/O BLUE APRON HOLDINGS, INC. 40 WEST 23RD STREET NEW YORK NY 10010 0 1 0 0 Sr VP of Op and Fulfillment Class A Common Stock 2017-11-25 4 M 0 5806 A 5806 D Class A Common Stock 2017-11-28 4 S 0 2209 3.0517 D 3597 D Restricted Stock Units 2017-11-25 4 M 0 5806 0 D Class A Common Stock 5806 87094 D Restricted stock units 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. Represents the shares automatically sold by the reporting person pursuant to an election to satisfy tax withholding obligations in connection with the vesting of the RSUs listed in Table II. This sale does not represent a discretionary trade by the reporting person. On August 25, 2017, the reporting person was granted 92,900 restricted stock units, vesting over four years in quarterly installments, with 6.25% of the restricted stock units vesting on each November 25, February 25, May 25 and August 25 over the four-year period following August 25, 2017. /s/ Benjamin C. Singer, as attorney-in-fact for Pablo Cussatti 2017-11-30