SEC Form 4 · accession 0001104659-17-071219
Blue Apron Holdings, Inc. · APRN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Pablo Cussatti
Officer — Sr VP of Op and Fulfillment
Period of report
Nov 25, 2017
Accepted (ET)
Nov 30, 2017 · 9:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001701114
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Nov 25, 2017 | M | 5,806 | — | A | 5,806 | D | |
| Class A Common StockF2 | Nov 28, 2017 | S | 2,209 | $3.0517 | D | 3,597 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F3 | — | Nov 25, 2017 | M | 5,806 | D | — | — | Class A Common Stock | 5,806 | 87,094 | D |
Explanation of responses
- F1Restricted 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.
- F2Represents 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.
- F3On 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.