0000899243-20-024853.txt : 20200910 0000899243-20-024853.hdr.sgml : 20200910 20200910190423 ACCESSION NUMBER: 0000899243-20-024853 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20200904 FILED AS OF DATE: 20200910 DATE AS OF CHANGE: 20200910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jaros Carey F. CENTRAL INDEX KEY: 0001823561 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 201169588 MAIL ADDRESS: STREET 1: GROCERY OUTLET HOLDING CORP. STREET 2: 5650 HOLLIS STREET CITY: EMERYVILLE STATE: CA ZIP: 94608 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2020-09-04 1 0001771515 Grocery Outlet Holding Corp. GO 0001823561 Jaros Carey F. C/O GROCERY OUTLET HOLDING CORP. 5650 HOLLIS STREET EMERYVILLE CA 94608 1 0 0 0 Exhibit List: Exhibit 24 - Power of Attorney /s/ Pamela B. Burke, Pamela B. Burke, as Attorney-in-Fact 2020-09-10 EX-24 2 attachment1.htm EX-24 DOCUMENT

                               POWER OF ATTORNEY

Know all by these presents that the undersigned, does hereby make, constitute

and appoint each of Aisha Barbeau, Pamela Burke and Lindsay Gray, or any one of

them, as a true and lawful attorney-in-fact of the undersigned with full powers

of substitution and revocation, for and in the name, place and stead of the

undersigned (in the undersigned's individual capacity), to execute and deliver

such forms that the undersigned may be required to file with the U.S. Securities

and Exchange Commission as a result of the undersigned's ownership of or

transactions in securities of Grocery Outlet Holding Corp. (i) pursuant to

Section 16(a) of the Securities Exchange Act of 1934, as amended, including

without limitation, statements on Form 3, Form 4 and Form 5 (including any

amendments thereto) and (ii) in connection with any applications for EDGAR

access codes, including without limitation the Form ID. The Power of Attorney

shall remain in full force and effect until the undersigned is no longer

required to file Forms 3, 4 and 5 with regard to his or her ownership of or

transactions in securities of Grocery Outlet Holding Corp., unless earlier

revoked in writing. The undersigned acknowledges that Aisha Barbeau, Pamela

Burke and Lindsay Gray are not assuming any of the undersigned's

responsibilities to comply with Section 16 of the Securities Exchange Act of

1934, as amended.

                                 By:  /s/ CAREY F. JAROS
                                 ------------------------------
                                 Name: Carey F. Jaros


                                 Date: 08/31/20