0001959173-24-002414.txt : 20240318 0001959173-24-002414.hdr.sgml : 20240318 20240318104622 ACCESSION NUMBER: 0001959173-24-002414 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20240318 DATE AS OF CHANGE: 20240318 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 24757333 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: Bortner Andrea Renee CENTRAL INDEX KEY: 0001808260 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: C/O GROCERY OUTLET HOLDING CORP. STREET 2: 5650 HOLLIS STREET CITY: EMERYVILLE STATE: CA ZIP: 94608 144 1 primary_doc.xml 144 0001808260 XXXXXXXX LIVE 0001771515 Grocery Outlet Holding Corp. 001-38950 5650 HOLLIS STREET EMERYVILLE CA 94608 (510) 845-1999 Bortner Andrea Renee Officer Common Fidelity Brokerage Services LLC

900 Salem Street Smithfield RI 02917

8300 220863.00 99227528 03/18/2024 NASDAQ Common 03/07/2024 Restricted Stock Vesting Issuer N 8300 03/07/2024 Compensation N Andrea Bortner

5650 Hollis Street Emeryville CA 94608

Common 03/04/2024 4112 108286.22 Andrea Bortner

5650 Hollis Street Emeryville CA 94608

Common 03/08/2024 5522 142631.60 03/18/2024 /s/ Gerardo Ibarra-Munoz, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Andrea Bortner