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