0001771515-24-000139.txt : 20240916 0001771515-24-000139.hdr.sgml : 20240916 20240916194728 ACCESSION NUMBER: 0001771515-24-000139 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240916 FILED AS OF DATE: 20240916 DATE AS OF CHANGE: 20240916 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: 241302267 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_1726530442.xml FORM 4 X0508 4 2024-09-16 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 2024-09-16 4 G 0 10389 0 D 86083 D Common Stock 2024-09-16 4 G 0 10389 0 A 107492 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 2024-09-16