Filing Details

Accession Number:
0000899243-19-018001
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-06-24 18:51:17
Reporting Period:
2019-06-19
Accepted Time:
2019-06-24 18:51:17
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1771515 Grocery Outlet Holding Corp. GO Retail-Grocery Stores (5411) 471874201
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1779740 Jr. J. Eric Lindberg C/O Grocery Outlet Holding Corp.
5650 Hollis Street
Emeryville CA 94608
Chief Executive 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
Common Stock Acquisiton 2019-06-24 460 $22.00 460 No 4 P Indirect By child
Common Stock Acquisiton 2019-06-24 460 $22.00 460 No 4 P Indirect By spouse
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By child
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 2019-06-19 210,450 $0.00 210,450 $22.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
210,450 2029-06-19 No 4 A Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 2,651,670 Indirect By Lindberg Revocable Trust
Common Stock 701,500 Indirect By Lindberg Irrevocable Trust
Footnotes
  1. Shares were acquired by Mr. Lindberg's child in a directed share program in connection with Grocery Outlet Holding Corp.'s (the "Issuer") initial public offering. Mr. Lindberg disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
  2. Shares were acquired by Mr. Lindberg's wife in a directed share program in connection with the Issuer's initial public offering. Mr. Lindberg disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein.
  3. Reflects shares directly held by the Lindberg Revocable Trust u/a/d 2/14/06 of which Mr. Lindberg is a Trustee
  4. Reflects shares directly held by the Lindberg Irrevocable Trust u/a/d 5/12/17 of which Mr. Lindberg is a Trustee.
  5. 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.
  6. These stock options vest on June 19, 2023.