0001771515-21-000012.txt : 20210308 0001771515-21-000012.hdr.sgml : 20210308 20210308202309 ACCESSION NUMBER: 0001771515-21-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210304 FILED AS OF DATE: 20210308 DATE AS OF CHANGE: 20210308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McMahon Thomas H. CENTRAL INDEX KEY: 0001779767 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 21723722 MAIL ADDRESS: STREET 1: 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: 0102 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 1 wf-form4_161525297465327.xml FORM 4 X0306 4 2021-03-04 0 0001771515 Grocery Outlet Holding Corp. GO 0001779767 McMahon Thomas H. GROCERY OUTLET HOLDING CORP. 5650 HOLLIS STREET EMERYVILLE CA 94608 0 1 0 0 See Remarks Common Stock 2021-03-04 4 S 0 1162 35.267 D 118657 D These shares were sold to satisfy the reporting person's tax withholding obligation upon vesting of RSUs previously granted. EVP, Chief Sales & Merchandising Officer - West /s/ Pamela B. Burke, Pamela B. Burke, as Attorney-in-Fact 2021-03-08