0001771515-23-000105.txt : 20231116
0001771515-23-000105.hdr.sgml : 20231116
20231116184045
ACCESSION NUMBER: 0001771515-23-000105
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231115
FILED AS OF DATE: 20231116
DATE AS OF CHANGE: 20231116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Herman Thomas F
CENTRAL INDEX KEY: 0001253547
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38950
FILM NUMBER: 231415936
MAIL ADDRESS:
STREET 1: C/O GROCERY OUTLET HOLDING CORP.
STREET 2: 5650 HOLLIS STREET
CITY: EMERYVILLE
STATE: CA
ZIP: 94608
FORMER NAME:
FORMER CONFORMED NAME: HERMAN THOMAS F
DATE OF NAME CHANGE: 20030711
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: 1230
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
wk-form4_1700178034.xml
FORM 4
X0508
4
2023-11-15
0
0001771515
Grocery Outlet Holding Corp.
GO
0001253547
Herman Thomas F
C/O GROCERY OUTLET HOLDING CORP.
5650 HOLLIS STREET
EMERYVILLE
CA
94608
1
0
0
0
0
Common Stock
2023-11-15
4
S
0
2000
29.74
D
15400
I
By Trust
Common Stock
9990
D
The sales reported in this Form 4 were effected pursuant to a previously adopted Rule 10b5-1 trading plan adopted September 6, 2022.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $29.19 to $29.93, 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, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote.
Reflects shares directly held by the Thomas F. Herman Separate Property Trust of which Mr. Herman is a Trustee.
/s/ Lauri Fischer, Lauri Fischer, attorney-in-fact
2023-11-15