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