0001771515-24-000100.txt : 20240516 0001771515-24-000100.hdr.sgml : 20240516 20240516173853 ACCESSION NUMBER: 0001771515-24-000100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240515 FILED AS OF DATE: 20240516 DATE AS OF CHANGE: 20240516 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sheedy Robert Joseph Jr. CENTRAL INDEX KEY: 0001779766 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 24957018 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] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 471874201 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 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 wk-form4_1715895516.xml FORM 4 X0508 4 2024-05-15 0 0001771515 Grocery Outlet Holding Corp. GO 0001779766 Sheedy Robert Joseph Jr. C/O GROCERY OUTLET HOLDING CORP. 5650 HOLLIS STREET EMERYVILLE CA 94608 1 1 0 0 President & CEO 0 Common Stock 2024-05-15 4 G 0 97103 0 D 86083 D Common Stock 2024-05-15 4 G 0 97103 0 A 97103 I By Trust Reflects shares directly held by The Sheedy Family Trust of which Mr. Sheedy is a Trustee. /s/ Lauri Fischer, Lauri Fischer, attorney-in-fact 2024-05-16