0001771515-22-000138.txt : 20220923 0001771515-22-000138.hdr.sgml : 20220923 20220923165213 ACCESSION NUMBER: 0001771515-22-000138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220922 FILED AS OF DATE: 20220923 DATE AS OF CHANGE: 20220923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheedy Robert Joseph Jr. CENTRAL INDEX KEY: 0001779766 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 221262832 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 1 wf-form4_166396631795781.xml FORM 4 X0306 4 2022-09-22 0 0001771515 Grocery Outlet Holding Corp. GO 0001779766 Sheedy Robert Joseph Jr. C/O GROCERY OUTLET HOLDING CORP. 5650 HOLLIS STREET EMERYVILLE CA 94608 0 1 0 0 President Common Stock 2022-09-22 4 M 0 6667 3.81 A 70659 D Common Stock 2022-09-22 4 S 0 6667 35.20 D 63992 D Stock Options (Right to Buy) 3.81 2022-09-22 4 M 0 6667 0 D 2024-11-25 Common Stock 6667.0 23723 D This transaction was effected pursuant to a previously adopted Rule 10b5-1 trading plan. These stock options are vested and exercisable. /s/ Lauri Fischer, Lauri Fischer, attorney-in-fact 2022-09-23