0001771515-23-000019.txt : 20230307
0001771515-23-000019.hdr.sgml : 20230307
20230307193326
ACCESSION NUMBER: 0001771515-23-000019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230306
FILED AS OF DATE: 20230307
DATE AS OF CHANGE: 20230307
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bortner Andrea Renee
CENTRAL INDEX KEY: 0001808260
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38950
FILM NUMBER: 23714432
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_167823559097924.xml
FORM 4
X0306
4
2023-03-06
0
0001771515
Grocery Outlet Holding Corp.
GO
0001808260
Bortner Andrea Renee
C/O GROCERY OUTLET HOLDING CORP.
5650 HOLLIS STREET
EMERYVILLE
CA
94608
0
1
0
0
Chief Human Resources Officer
Common Stock
2023-03-06
4
S
0
17759
27.234
D
48975
D
Of the 17,759 shares, 8,584 shares were sold to satisfy the reporting person's tax withholding obligation upon vesting of performance stock units previously granted.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $27.260 to $27.174, 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.
/s/ Lauri Fischer, Lauri Fischer, as Attorney-in-Fact
2023-03-07