Form Type: 4

SEC EDGAR Link
Accession Number:0000899243-20-013356
Date:2020-05-13
Issuer: GROCERY OUTLET HOLDING CORP. (GO)
Original Submission Date:

Reporting Person:

BORTNER ANDREA RENEE
C/O GROCERY OUTLET HOLDING CORP.
5650 HOLLIS STREET EMERYVILLE, CA 94608

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2020-05-13 A 14,100 a $0.00 14,100 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 represents 14,100 restricted stock units ("rsus") granted to the reporting person, of which 2,892 rsus are scheduled to vest on march 1, 2021, 2,892 rsus are scheduled to vest on march 1, 2022, 2,893 rsus are scheduled to vest on march 1, 2023 and 5,423 rsus are scheduled to vest on june 19, 2023, in each case, subject to the continued service of the reporting person through such vesting dates. does not include up to an additional 13,016 unvested performance stock units at target achievement (or up to an additional 26,032 unvested performance stock units at maximum achievement) which are eligible to vest upon the achievement of certain performance-based vesting conditions.
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