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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1771515	Grocery Outlet Holding Corp.	GO	()	4

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1444802	Charles Bracher	C/O Grocery Outlet Holding Corp. 5650 Hollis Street Emeryville CA 94608	Chief Financial Officer	No	Yes	No	No

Reported Non-Derivative Transactions

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Non-Voting Common Stock	Disposition	2019-06-24	42,090	$0.00	0	No	4	D	Direct
Common Stock	Acquisiton	2019-06-24	42,090	$0.00	42,090	No	4	A	Direct
Common Stock	Acquisiton	2019-06-24	2,610	$22.00	2,610	No	4	P	Indirect	By spouse

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	D	Direct
No	4	A	Direct
No	4	P	Indirect	By spouse

Reported Derivative Transactions

Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Stock Options (Right to Buy)	Acquisiton	2019-06-19	91,195	$0.00	91,195	$22.00

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
91,195		2029-06-19	No	4	A	Direct

Footnotes

Upon the completion of the initial public offering of Grocery Outlet Holding Corp. (the "Issuer") on June 24, 2019, all shares of the Issuer's non-voting common stock automatically converted into shares of the Issuer's voting common stock on a one-for-one basis.
Shares were acquired by Mr. Bracher's wife in a directed share program in connection with the Issuer's initial public offering. Mr. Bracher disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
Represents stock options previously granted to the reporting person on June 19, 2019. These stock options were already reflected on the reporting person's previously filed Form 3.
These stock options vest on June 19, 2023.