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