0001701114-23-000082.txt : 20230609 0001701114-23-000082.hdr.sgml : 20230609 20230609170145 ACCESSION NUMBER: 0001701114-23-000082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230607 FILED AS OF DATE: 20230609 DATE AS OF CHANGE: 20230609 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shah Amit CENTRAL INDEX KEY: 0001913953 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38134 FILM NUMBER: 231006176 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 wk-form4_1686344494.xml FORM 4 X0407 4 2023-06-07 0 0001701114 Blue Apron Holdings, Inc. APRN 0001913953 Shah Amit C/O BLUE APRON HOLDINGS, INC. 28 LIBERTY STREET NEW YORK NY 10005 1 0 0 0 0 Class A Common Stock 2023-06-07 4 M 0 1607 A 1853 D Restricted Stock Units 2023-06-07 4 M 0 1607 0 D Class A Common Stock 1607 0 D Restricted Stock Units 2023-06-07 4 A 0 9472 0 A Class A Common Stock 9472 9472 D Amounts reported in this Form 4 reflect the one-for-twelve reverse stock split effected by the issuer on June 7, 2023. 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. The RSUs vested in full on June 7, 2023. Each RSU represents a contingent right to receive one share of Class A Common Stock. The RSUs are scheduled to vest in full on the earlier of June 7, 2024 and the date of the issuer's 2024 annual meeting of stockholders. 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 Amit Shah 2023-06-09