0001771515-23-000014.txt : 20230306 0001771515-23-000014.hdr.sgml : 20230306 20230306173646 ACCESSION NUMBER: 0001771515-23-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230302 FILED AS OF DATE: 20230306 DATE AS OF CHANGE: 20230306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gray Lindsay E. CENTRAL INDEX KEY: 0001779708 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 23710152 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_167814219129558.xml FORM 4 X0306 4 2023-03-02 0 0001771515 Grocery Outlet Holding Corp. GO 0001779708 Gray Lindsay E. C/O GROCERY OUTLET HOLDING CORP. 5650 HOLLIS STREET EMERYVILLE CA 94608 0 1 0 0 SVP, Accounting Common Stock 2023-03-02 4 A 0 9369 0 A 26432 D Common Stock 2023-03-02 4 A 0 7146 0 A 33578 D Common Stock 2023-03-03 4 S 0 1307 27.456 D 32271 D Represents fully vested shares of the Issuer's Common Stock acquired by the reporting person upon certification by the Issuer's Compensation Committee that certain performance-based vesting conditions had been satisfied with respect to performance stock units ("PSUs") granted to the reporting person on May 13, 2020. Represents 7,146 restricted stock units ("RSUs") granted to the reporting person that will entitle the reporting person to receive one share of the Issuer's Common Stock per RSU. The RSUs will vest, and the underlying shares will be concurrently issued in a series of three equal installments upon the reporting person's completion of each 12 month period of service over the period measured from March 1, 2023 to March 1, 2026, subject to the continued service of the reporting person through such vesting dates. Does not include up to an additional 10.719 unvested PSUs at target achievement (or up to an additional 21,438 unvested PSUs at maximum achievement) which are eligible to vest upon the achievement of certain performance-based vesting conditions. These shares were sold to satisfy the reporting person's tax withholding obligation upon vesting of RSUs previously granted. /s/ Lauri Fischer, Lauri Fischer, as Attorney-in-Fact 2023-03-06