[Form 3] Grocery Outlet Holding Corp. Initial Statement of Beneficial Ownership

Rhea-AI Filing Summary

Grocery Outlet Holding Corp (GO) filed a Form 3 Initial Statement of Beneficial Ownership on June 28, 2025, disclosing the appointment of Michael K. Kobayashi as a new Director to the company's board.

Key details from the filing:

• Event Date: June 26, 2025
• Position: Director (no other roles or ownership positions indicated)
• Current Holdings: No securities beneficially owned at time of appointment
• Filing Type: Individual filing (not joint)
• Business Address: 5650 Hollis Street, Emeryville, CA 94608

The filing was executed by Lauri Fischer as attorney-in-fact on June 27, 2025. A Power of Attorney document was included as Exhibit 24. This Form 3 represents the initial disclosure required for new corporate insiders under SEC regulations.

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

KOBAYASHI MICHAEL K

(Last) (First) (Middle)

C/O GROCERY OUTLET HOLDING CORP.

5650 HOLLIS STREET

(Street)

EMERYVILLE CA 94608

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
06/26/2025

3. Issuer Name and Ticker or Trading Symbol
Grocery Outlet Holding Corp. [ GO ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director		10% Owner
	Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

Remarks:

Exhibit List: Exhibit 24 - Power of Attorney.

No securities are beneficially owned.

	/s/ Lauri Fischer, Lauri Fischer, attorney-in-fact	06/27/2025
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

FAQ

Who is the new director appointed to Grocery Outlet's (GO) board in June 2025?

Michael K. Kobayashi was appointed as a Director of Grocery Outlet Holding Corp. (GO) effective June 26, 2025, as disclosed in this Form 3 filing.

Does Michael Kobayashi own any shares of Grocery Outlet (GO) upon joining the board?

According to the Form 3 filing, Michael Kobayashi owns no securities of Grocery Outlet (GO) at the time of his appointment as director. This is explicitly stated in the 'Remarks' section: 'No securities are beneficially owned.'

What positions does Michael Kobayashi hold at Grocery Outlet (GO)?

Based on the Form 3 filing, Michael Kobayashi serves as a Director on Grocery Outlet's board. He does not hold any other officer positions or have 10% ownership in the company, as indicated by the relationship checkboxes in section 4 of the filing.

When did Michael Kobayashi file his Form 3 for Grocery Outlet (GO)?

The Form 3 was filed on June 27, 2025, as evidenced by the signature date, following Michael Kobayashi's appointment as director on June 26, 2025. The filing was signed by Lauri Fischer as attorney-in-fact.