0000899243-21-006998.txt : 20210217 0000899243-21-006998.hdr.sgml : 20210217 20210217194745 ACCESSION NUMBER: 0000899243-21-006998 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210212 FILED AS OF DATE: 20210217 DATE AS OF CHANGE: 20210217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McAndrews Brian CENTRAL INDEX KEY: 0001808258 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38950 FILM NUMBER: 21647070 MAIL ADDRESS: STREET 1: C/O 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-02-12 0 0001771515 Grocery Outlet Holding Corp. GO 0001808258 McAndrews Brian C/O GROCERY OUTLET HOLDING CORP. 5650 HOLLIS STREET EMERYVILLE CA 94608 0 1 0 0 See Remarks Common Stock 2021-02-12 4 M 0 4000 10.30 A 12055 D Common Stock 2021-02-12 4 S 0 4000 42.49 D 8055 D Stock Options (Right to Buy) 10.30 2021-02-12 4 M 0 4000 0.00 D 2028-06-25 Common Stock 4000 49165 D The sales reported in this Form 4 were effected pursuant to a previously adopted Rule 10b5-1 trading plan. 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. SVP, Chief Store Development Officer /s/ Pamela B. Burke, Pamela B. Burke, as Attorney-In-Fact 2021-02-17