0001771515-22-000066.txt : 20220513
0001771515-22-000066.hdr.sgml : 20220513
20220513192503
ACCESSION NUMBER: 0001771515-22-000066
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220512
FILED AS OF DATE: 20220513
DATE AS OF CHANGE: 20220513
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Alterman Kenneth W.
CENTRAL INDEX KEY: 0001779737
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38950
FILM NUMBER: 22924728
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: 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
1
wf-form4_165248427206785.xml
FORM 4
X0306
4
2022-05-12
0
0001771515
Grocery Outlet Holding Corp.
GO
0001779737
Alterman Kenneth W.
C/O GROCERY OUTLET HOLDING CORP.
5650 HOLLIS STREET
EMERYVILLE
CA
94608
1
0
0
0
Common Stock
2022-05-12
4
A
0
705
0
A
32871
D
Common Stock
39592
I
Held through Alterman Revocable Trust
Represents 705 restricted stock units ("RSUs") granted to the reporting person that will vest on March 1, 2023, subject to the continued service of the reporting person through such vesting date. Such RSUs were granted in connection with an April 2022 amendment to the issuer's non-employee director compensation policy.
Reflects shares directly held by the Alterman Revocable Trust of which Mr. Alterman is a Trustee.
/s/ Lauri Fischer, Lauri Fischer, attorney-in-fact
2022-05-13