0001104659-20-019368.txt : 20200212 0001104659-20-019368.hdr.sgml : 20200212 20200212171719 ACCESSION NUMBER: 0001104659-20-019368 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20200212 DATE AS OF CHANGE: 20200212 GROUP MEMBERS: FAMILY TRUST CREATED UNDER ARTICLE V OF THE MATTHEW SALZBERG 2014 ANNUITY TRUST AGREEMENT SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-90031 FILM NUMBER: 20605509 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Salzberg Matthew B CENTRAL INDEX KEY: 0001710351 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: 5 CROSBY STREET CITY: NEW YORK STATE: NY ZIP: 10013 SC 13G/A 1 a20-7547_1sc13ga.htm SC 13G/A

 

 

UNITED STATES

 

 

SECURITIES AND EXCHANGE COMMISSION

 

 

Washington, D.C. 20549

 

 

 

 

SCHEDULE 13G

 

(Amendment No. 4)*

 

Under the Securities Exchange Act of 1934

 

Blue Apron Holdings, Inc.

(Name of Issuer)

Class A Common Stock, par value $0.0001 per share

(Title of Class of Securities)

09523Q 200

(CUSIP Number)

December 31, 2019

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

o

Rule 13d-1(c)

x

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Exchange Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 

CUSIP No. 09523Q 200

 

 

1.

Names of Reporting Persons
I.R.S. Identification No. of Above Persons (Entities Only)
Matthew B. Salzberg

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States of America

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power*
1,495,777

 

6.

Shared Voting Power*
1,250

 

7.

Sole Dispositive Power*
3,173,861

 

8.

Shared Dispositive Power*
1,250

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person*
3,175,111

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9)*
29.0%

 

 

12.

Type of Reporting Person (See Instructions)
IN

 

* See Item 4 below.

 

1

 

 

1.

Names of Reporting Persons
I.R.S. Identification No. of Above Persons (Entities Only)
Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
New York

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power*
1,316,272

 

6.

Shared Voting Power*
0

 

7.

Sole Dispositive Power*
1,316,272

 

8.

Shared Dispositive Power*
0

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person*
1,316,272

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9)*
14.4%

 

 

12.

Type of Reporting Person (See Instructions)
OO

 

* See Item 4 below.

 

2

 

Item 1.

 

(a)

Name of Issuer
Blue Apron Holdings, Inc.

 

(b)

Address of Issuer’s Principal Executive Offices
28 Liberty Street
New York, NY 10005

 

Item 2.

 

(a)

Name of Person(s) Filing
Matthew B. Salzberg
Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement

 

(b)

Address of Principal Business Office or, if none, Residence
c/o Blue Apron Holdings, Inc.
28 Liberty Street
New York, NY 10005

 

(c)

Citizenship
Matthew B. Salzberg — United States of America
Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement — New York

 

(d)

Title of Class of Securities
Class A Common Stock, $0.0001 per share

 

(e)

CUSIP Number
09523Q 200

 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

Not applicable

 

3

 

Item 4.

Ownership

 

Matthew B. Salzberg and the Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement (the “2014 Annuity Trust,” and together with Matthew B. Salzberg, the “Reporting Persons”) are filing this Amendment No. 4 to Schedule 13G (this “Statement”) to update the Reporting Persons’ beneficial ownership of Class A Common Stock, par value $0.0001 per share (the “Class A Common Stock”), and Class B Common Stock, par value $0.0001 per share (the “Class B Common Stock,” and, together with the Class A Common Stock, the “Common Stock”), of Blue Apron Holdings, Inc. (the “Issuer”). On June 14, 2019, the Issuer effected a 1-for-15 reverse stock split of its Common Stock (the “Reverse Stock Split”). The amount of securities reported on this Statement has been adjusted from the amount reported in the Reporting Persons’ prior filing to reflect the Reverse Stock Split.

 

(a)         Amount beneficially owned:

 

Reporting Person

 

Number of
Shares

 

Matthew B. Salzberg

 

3,175,111

 

Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement

 

1,316,272

 

 

(b)         Percent of class:

 

Reporting Person

 

Percent of
Class(1)

 

Matthew B. Salzberg

 

29.0

%(2)

Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement

 

14.4

%(3)

 

(c)          Number of shares as to which the reporting person has:

 

(i)             Sole power to vote or direct the vote:

 

Reporting Person

 

Number of
Shares

 

Matthew B. Salzberg

 

1,495,777

(4)

Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement(5)

 

1,316,272

 

 

(ii)          Shared power to vote or direct the vote:

 

Reporting Person

 

Number of
Shares

 

Matthew B. Salzberg

 

1,250

(6)

Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement(5)

 

0

 

 

(iii)       Sole power to dispose or direct the disposition of:

 

Reporting Person

 

Number of
Shares

 

Matthew B. Salzberg

 

3,173,861

(7)

Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement(5)

 

1,316,272

 

 

(iv)      Shared power to dispose or direct the disposition of:

 

Reporting Person

 

Number of
Shares

 

Matthew B. Salzberg

 

1,250

(6)

Family Trust Created Under Article V of The Matthew Salzberg 2014 Annuity Trust Agreement(5)

 

0

 

 

4

 

(1)                                 Based upon outstanding share information provided to the Reporting Person by the Issuer as of December 31, 2019 (7,799,093 shares of Class A Common Stock outstanding).  Each share of Class B Common Stock is convertible into Class A Common Stock on a one-for-one basis upon certain transfers of such shares and at the holder’s election.

 

(2)                                 Based on the quotient obtained by dividing (a) the aggregate number of shares of Common Stock beneficially owned by the Reporting Person as set forth in Item 4(a) by (b) the sum of (i) 7,799,093 shares of Class A Common Stock outstanding as of December 31, 2019 and (ii) 3,163,495 shares of Class B Common Stock beneficially owned by the Reporting Person. The aggregate number of shares of Common Stock beneficially owned by the Reporting Person as set forth in clauses (a) and (b) of this footnote are treated as converted into Class A Common Stock only for the purpose of computing the percentage ownership of the Reporting Person.

 

(3)                                 Based on the quotient obtained by dividing (a) the aggregate number of shares of Class B Common Stock beneficially owned by the Reporting Personas set forth in Item 4(a) by (b) the sum of (i) 7,799,093 shares of Class A Common Stock outstanding as of December 31, 2019 and (ii) 1,316,272 shares of Class B Common Stock beneficially owned by the Reporting Person. The aggregate number of shares of Class B Common Stock beneficially owned by the Reporting Person as set forth in clauses (a) and (b) of this footnote are treated as converted into Class A Common Stock only for the purpose of computing the percentage ownership of the Reporting Person.

 

(4)                                 Consists of (a) 11,616 shares of the Issuer’s Class A Common Stock held of record by Mr. Salzberg, (b) 1,315,161 shares of the Issuer’s Class B Common Stock held of record by Mr. Salzberg, (c) 166,666 shares of the Issuer’s Class B Common Stock held of record by The Matthew Salzberg Family 2014 Trust, for which Mr. Salzberg serves as a trustee, and (d) 2,334 shares of the Issuer’s Class B Common Stock’ subject to options exercisable within 60 days of December 31, 2019.

 

(5)                                 Matthew B. Salzberg and his father, Barry Salzberg, are co-trustees of the 2014 Annuity Trust. Matthew B. Salzberg has sole investment control and Barry Salzberg has sole voting control over securities owned by the 2014 Annuity Trust.

 

(6)                                 Consists of 1,250 shares of the Issuer’s Class B Common Stock held of record by Aspiration Growth Opportunities II GP, LLC, with respect to which Matthew B. Salzberg has shared investment and voting power.

 

(7)                                 Consists of (a) the shares described in footnote 4, (b) 1,316,272 shares of the Issuer’s Class B Common Stock held of record by the 2014 Annuity Trust, for which Matthew B. Salzberg exercises sole investment control, (c) 180,906 shares of the Issuer’s Class B Common Stock held of record by MS 2018 Trust I, for which Matthew B. Salzberg exercises sole investment control, and (d) 180,906 shares of the Issuer’s Class B Common Stock held of record by MS 2018 Trust II (together with MS 2018 Trust I, the “2018 Trusts”), for which Matthew B. Salzberg exercises sole investment control. Matthew B. Salzberg and his father, Barry Salzberg, are co-trustees of the 2018 Trusts. Matthew B. Salzberg has sole investment control and Barry Salzberg has sole voting control over securities owned by the 2018 Trusts.

 

Item 5.

Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following   o.

 

Not applicable.

 

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person

 

Not applicable.

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person

 

Not applicable.

 

Item 8.

Identification and Classification of Members of the Group

 

Not applicable.

 

Item 9.

Notice of Dissolution of Group

 

Not applicable.

 

5

 

Item 10.

Certification

 

Not applicable.

 

SIGNATURES

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

 

 

MATTHEW B. SALZBERG

 

 

 

 

 

/s/ Matthew B. Salzberg

 

 

 

 

 

FAMILY TRUST CREATED UNDER ARTICLE V OF THE MATTHEW SALZBERG 2014 ANNUITY TRUST AGREEMENT

 

 

 

 

 

/s/ Matthew B. Salzberg

 

Name: Matthew B. Salzberg

 

Title: Co-trustee

 

Dated: February 12, 2020

 

6