SEC Form 4 · accession 0001104659-18-035137

Blue Apron Holdings, Inc. · APRN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — General Counsel and Secretary

Period of report

May 21, 2018

Accepted (ET)

May 22, 2018 · 5:30 pm EDT

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 Stock^F1	May 21, 2018	C	30,000	$0.00	A	30,000	D
Class A Common Stock	May 21, 2018	S	30,000	$3.00	D	0	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option (right to buy)^F3	$1.25	May 21, 2018	M	30,000	D	—	Nov 9, 2024	Class B Common Stock	30,000	410,000	D
Class B Common Stock^F4	—	May 21, 2018	M	30,000	A	—	—	Class A Common Stock	30,000	30,000	D
Class B Common Stock^F4,F5	—	May 21, 2018	C	30,000	D	—	—	Class A Common Stock	30,000	0	D

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 sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 15, 2017.
F3The option, representing a right to purchase a total of 450,000 shares of Class B Common Stock, is scheduled to vest over four years, with 25% of the shares vesting on the first anniversary of November 10, 2014 and the remainder vesting over the ensuing three years in equal monthly installments.
F4The 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.
F5The holder elected to convert the shares of Class B Common Stock into Class A Common Stock on a 1-for-1 basis.