0001771515-24-000083.txt : 20240327 0001771515-24-000083.hdr.sgml : 20240327 20240327191806 ACCESSION NUMBER: 0001771515-24-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240327 FILED AS OF DATE: 20240327 DATE AS OF CHANGE: 20240327 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Herman Thomas F CENTRAL INDEX KEY: 0001253547 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 24792683 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] ORGANIZATION NAME: 07 Trade & Services 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 wk-form4_1711581471.xml FORM 4 X0508 4 2024-03-27 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 2024-03-27 4 S 0 1000 29 D 10400 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 August 30, 2023. 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 2024-03-27