SEC Form 4 · accession 0001209191-18-051090
Blue Apron Holdings, Inc. · APRN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
First Round Capital IV, L.P.
10% Owner
Period of report
Sep 12, 2018
Accepted (ET)
Sep 14, 2018 · 4:26 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 StockF1 | Sep 12, 2018 | C | 5,460,785 | $0.00 | A | 8,191,177 | D | |
| Class A Common StockF2 | Sep 12, 2018 | C | 95,379 | $0.00 | A | 143,068 | I | See Footnote |
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 StockF1,F3 | — | Sep 12, 2018 | C | 5,460,785 | D | — | — | Class A Common Stock | 5,460,785 | 0 | D |
| Class B Common StockF2,F3 | — | Sep 12, 2018 | C | 95,379 | D | — | — | Class A Common Stock | 95,379 | 0 | I |
Explanation of responses
- F1The reported shares are directly owned by FRC IV LP. First Round Capital Management IV, L.P., the general partner of FRC IV LP, and First Round Capital Management IV, LLC, the general partner of First Round Capital Management IV, L.P., have sole dispositive and voting power of the shares directly owned by FRC IV LP. Such entities disclaim beneficial ownership over the shares held by FRC IV LP except to the extent of any pecuniary interest therein.
- F2The reported shares are owned directly by FRC IV Partners LP. First Round Capital Management IV, L.P., the general partner of FRC IV Partners LP, and First Round Capital Management IV, LLC, the general partner of First Round Capital Management IV, L.P., have sole dispositive and voting power of the shares directly owned by FRC IV Partners LP. Such entities disclaim beneficial ownership over the shares held by FRC IV Partners LP except to the extent of any pecuniary interest therein.
- F3The Class B Common Stock is convertible into the Issuer's Class A Common Stock on a one-for-one basis upon certain transfers of such shares and at the holder's election and has no expiration date.