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