SEC Form 4 · accession 0001823561-26-000003
Grocery Outlet Holding Corp. · GO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Carey F. Jaros
Director
Period of report
Jul 30, 2026
Accepted (ET)
Aug 31, 2026 · 9:23 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001771515
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jul 30, 2026 | J | 45,000 | $0.00 | D | 49,934 | D | |
| Common StockF1,F2 | Jul 30, 2026 | J | 45,000 | $0.00 | A | 45,000 | I | By TIC |
| Common StockF2 | Aug 27, 2026 | P | 15,000 | $11.70 | A | 60,000 | I | By TIC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reflects the transfer of shares previously held directly by the Reporting Person to a tenancy in common held by two revocable family trust accounts. The transfer constituted only a change in form of beneficial ownership exempt under Rule 16a-13 of the Securities Exchange Act of 1934, as amended, as the Reporting Person retains a pecuniary interest in all transferred shares.
- F2Reflects shares of common stock held as tenancy in common by two revocable family trust accounts. The Reporting Person serves as a trustee of one trust and is a beneficiary of the other trust. The Reporting Person disclaims beneficial ownership of the shares held by the trust for which she is a trustee, except to the extent of her pecuniary interest therein.