Andrea Renee Bortner - 28 Feb 2025 Form 4 Insider Report for Grocery Outlet Holding Corp. (GO)

Role
EVP, Chief Human Resources Officer
Signature
/s/ Lauri Fischer, Lauri Fischer, attorney-in-fact
Issuer symbol
GO
Transactions as of
28 Feb 2025
Net transactions value
$0
Form type
4
Filing time
04 Mar 2025, 19:05:42 UTC
Previous filing
19 Mar 2024
Next filing
06 Mar 2025
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction GO Common Stock Award $0 +17,554 +66% $0.000000 44,319 28 Feb 2025 Direct F1
holding GO Common Stock 31,167 28 Feb 2025 By Trust F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction GO Stock Options (Right to Buy) Award $0 +81,094 $0.000000 81,094 28 Feb 2025 Common Stock 81,094 $11.87 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents fully vested shares of the Issuer's Common Stock acquired by the reporting person upon certification by the Issuer's Compensation Committee that certain performance-based vesting conditions had been satisfied with respect to performance stock units ("PSUs") granted to the reporting person on March 3, 2022.
F2 Reflects shares directly held by the Bortner Family Trust of which Ms. Bortner is a Trustee.
F3 Represents 81,094 stock options granted on February 28, 2025, which vest in three equal installments on March 1 of each of 2026, 2027 and 2028, subject to the reporting person's completion of each 12 month period of service through such vesting dates. Does not include up to an additional 38,668 unvested PSUs at target achievement (or up to an additional 77,336 unvested PSUs at maximum achievement) which are eligible to vest upon the achievement of certain performance-based vesting conditions.

Remarks:

EVP, Chief Human Resources Officer