0000899243-20-022120.txt : 20200812 0000899243-20-022120.hdr.sgml : 20200812 20200812161732 ACCESSION NUMBER: 0000899243-20-022120 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200810 FILED AS OF DATE: 20200812 DATE AS OF CHANGE: 20200812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bracher Charles CENTRAL INDEX KEY: 0001444802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 201095681 MAIL ADDRESS: STREET 1: 71 STEVENSON STREET STREET 2: 22ND FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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: 0102 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 2020-08-10 0 0001771515 Grocery Outlet Holding Corp. GO 0001444802 Bracher Charles C/O GROCERY OUTLET HOLDING CORP. 5650 HOLLIS STREET EMERYVILLE CA 94608 0 1 0 0 Chief Financial Officer Common Stock 2020-08-10 4 M 0 18750 3.81 A 72519 D Common Stock 2020-08-10 4 S 0 18750 45.74 D 53769 D Common Stock 1410 I By spouse Common Stock 400 I By child Common Stock 400 I By child Common Stock 400 I By child Stock Options (Right to Buy) 3.81 2020-08-10 4 M 0 18750 0.00 D 2024-11-25 Common Stock 18750 324530 D The sales reported in this Form 4 were effected pursuant to a previously adopted Rule 10b5-1 trading. Reflects shares directly held by a trust for the benefit of the reporting person's eldest child, who shares the reporting person's household. The reporting person disclaims beneficial ownership of the shares held on behalf of his child by this trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. Reflects shares directly held by a trust for the benefit of the reporting person's second eldest child, who shares the reporting person's household. The reporting person disclaims beneficial ownership of the shares held on behalf of his child by this trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. Reflects shares directly held by a trust for the benefit of the reporting person's youngest child, who shares the reporting person's household. The reporting person disclaims beneficial ownership of the shares held on behalf of his child by this trust, and this report should not be deemed an admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. Represents previously granted stock options which were deemed earned and acquired upon the satisfaction of certain performance vesting criteria. These stock options are vested and exercisable Due to a scrivener's error, the reporting person's Form 4 filed on July 31, 2020 inadvertently reflected an acquisition of derivative securities in Column 5 of Table II instead of a disposition. The number of derivative securities beneficially owned following the reported transactions reflected in Column 9 of Table II accurately reflected the disposition. /s/ Pamela B. Burke, Pamela B. Burke, as Attorney-In-Fact 2020-08-12