0001771515-22-000111.txt : 20220812
0001771515-22-000111.hdr.sgml : 20220812
20220812165559
ACCESSION NUMBER: 0001771515-22-000111
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220726
FILED AS OF DATE: 20220812
DATE AS OF CHANGE: 20220812
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Thompson Luke D
CENTRAL INDEX KEY: 0001739812
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38950
FILM NUMBER: 221160959
MAIL ADDRESS:
STREET 1: C/O GROCERY OUTLET HOLDING CORP
STREET 2: 5650 HOLLIS STREET
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Grocery Outlet Holding Corp.
CENTRAL INDEX KEY: 0001771515
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411]
IRS NUMBER: 471874201
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5650 HOLLIS STREET
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
BUSINESS PHONE: (510) 845-1999
MAIL ADDRESS:
STREET 1: 5650 HOLLIS STREET
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
4/A
1
wf-form4a_166033773891917.xml
FORM 4/A
X0306
4/A
2022-07-26
2022-07-27
0
0001771515
Grocery Outlet Holding Corp.
GO
0001739812
Thompson Luke D
C/O GROCERY OUTLET HOLDING CORP.
5650 HOLLIS STREET
EMERYVILLE
CA
94608
0
1
0
0
SVP, GC and Secretary
Common Stock
2022-07-26
4
A
0
5748
0
A
5748
D
Common Stock
2022-07-26
4
A
0
5412
0
A
11160
D
Represents 5,748 restricted stock units ("RSUs") granted to the reporting person that will entitle the reporting person to receive one share of the Issuer's Common Stock per RSU. The RSUs will vest, and the underlying shares will be concurrently issued in a series of three equal installments on May 20, 2023, May 20, 2024 and May 20, 2025, subject to the continued service of the reporting person through such vesting dates.
Represents 5,412 restricted stock units ("RSUs") granted to the reporting person that will entitle the reporting person to receive one share of the Issuer's Common Stock per RSU. The RSUs will vest, and the underlying shares will be concurrently issued in a series of three equal installments on May 20, 2023, May 20, 2024 and May 20, 2025, subject to the continued service of the reporting person through such vesting dates. Does not include up to an additional 3,608 unvested performance stock units at target achievement (or up to an additional 7,216 unvested performance stock units at maximum achievement) which are eligible to vest upon the achievement of certain performance-based vesting conditions.
This Form 4 is being amended solely to restate the vesting information in the footnotes to this Form 4. Due to an administrative error, such information was incorrectly reported in the original Form 4 filed July 27, 2022.
/s/ Lauri Fischer, Lauri Fischer, as Attorney-in-Fact
2022-08-12