SEC Form 4 · accession 0001104659-18-001019
Blue Apron Holdings, Inc. · APRN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ilia M Papas
Officer — Chief Technology Officer
Period of report
Dec 12, 2017
Accepted (ET)
Jan 5, 2018 · 5:39 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 | Dec 12, 2017 | C | 37,500 | $0.00 | A | 37,500 | D | |
| Class A Common Stock | Dec 15, 2017 | G | 30,000 | $0.00 | D | 7,500 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF2,F3 | — | Dec 12, 2017 | C | 37,500 | D | — | — | Class A Common Stock | 37,500 | 6,948,043 | D |
Explanation of responses
- F1Represents the number of shares that were acquired upon conversion of the shares of Class B Common Stock into Class A Common Stock listed in Table II.
- F2The Class B Common Stock is convertible into the issuer's Class A Common Stock on a 1-for-1 basis upon certain transfers of such shares and at the holder's election and has no expiration date.
- F3The holder elected to convert the shares of Class B Common Stock into Class A Common Stock on a 1-for-1 basis.