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