0000899243-20-013341.txt : 20200515
0000899243-20-013341.hdr.sgml : 20200515
20200515213334
ACCESSION NUMBER: 0000899243-20-013341
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200513
FILED AS OF DATE: 20200515
DATE AS OF CHANGE: 20200515
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MATTHEWS NORMAN S
CENTRAL INDEX KEY: 0001178445
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38950
FILM NUMBER: 20887578
MAIL ADDRESS:
STREET 1: 650 MADISON AVENUE, 23RD FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
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: 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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2020-05-13
0
0001771515
Grocery Outlet Holding Corp.
GO
0001178445
MATTHEWS NORMAN S
C/O GROCERY OUTLET HOLDING CORP.,
5650 HOLLIS STREET
EMERYVILLE
CA
94608
1
0
0
0
Common Stock
2020-05-13
4
A
0
2712
0.00
A
106925
D
Represents 2,712 restricted stock units granted to the reporting person which are scheduled to vest March 1, 2021, subject to the continued service of the reporting person through such vesting date.
/s/ Pamela B. Burke, Pamela B. Burke, as Attorney-In-Fact
2020-05-15