0001771515-22-000144.txt : 20221031 0001771515-22-000144.hdr.sgml : 20221031 20221031195828 ACCESSION NUMBER: 0001771515-22-000144 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221028 FILED AS OF DATE: 20221031 DATE AS OF CHANGE: 20221031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bracher Charles CENTRAL INDEX KEY: 0001444802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 221348047 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_166726068943424.xml FORM 4 X0306 4 2022-10-28 0 0001771515 Grocery Outlet Holding Corp. GO 0001444802 Bracher Charles C/O GROCERY OUTLET HOLDING CORP., 5650 HOLLIS STREET EMERYVILLE CA 94608 0 1 0 0 Chief Financial Officer Common Stock 2022-10-28 4 M 0 3125 3.81 A 80359 D Common Stock 2022-10-28 4 M 0 3125 7.13 A 83484 D Common Stock 2022-10-28 4 S 0 6250 35.29 D 77234 D Common Stock 1410 I By spouse Common Stock 400 I By child Common Stock 400 I By child Common Stock 400 I By child Stock Options (Right to Buy) 3.81 2022-10-28 4 M 0 3125 0 D 2024-11-25 Common Stock 3125.0 53365 D Stock Options (Right to Buy) 7.13 2022-10-28 4 M 0 3125 0 D 2024-11-25 Common Stock 3125.0 78247 D This transaction was effected pursuant to a previously adopted Rule 10b5-1 trading plan. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $35.00 to $35.45, inclusive. The reporting person undertakes to provide to Grocery Outlet Holding Corp. (the "Issuer"), any security holder of the Issuer or the staff of the Securities and Exchange Commission (the "Commission"), upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote to this Form 4. Reflects shares directly held by a trust for the benefit of the reporting person's eldest child, who shares the reporting person's household. The reporting person disclaims beneficial ownership of the shares held on behalf of his child by this trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. Reflects shares directly held by a trust for the benefit of the reporting person's second eldest child, who shares the reporting person's household. The reporting person disclaims beneficial ownership of the shares held on behalf of his child by this trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. Reflects shares directly held by a trust for the benefit of the reporting person's youngest child, who shares the reporting person's household. The reporting person disclaims beneficial ownership of the shares held on behalf of his child by this trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. These stock options are vested and exercisable. These stock options are vested and exercisable. /s/ Lauri Fischer, Lauri Fischer, attorney-in-fact 2022-10-31