-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VFOKofqknzTKH64u9rgU8rNt3Ig055lmFeUx4RHd0M5Oi0qW/4Zvs7djVldfmgOt Qgm91NzR22cKRcPYQA3ONw== 0001193125-04-123621.txt : 20040727 0001193125-04-123621.hdr.sgml : 20040727 20040723143733 ACCESSION NUMBER: 0001193125-04-123621 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20040723 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Boston Avenue Capital CENTRAL INDEX KEY: 0001297972 IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: BUSINESS PHONE: 918-585-5775 MAIL ADDRESS: STREET 1: 15 EAST 5TH STREET STREET 2: SUITE 3200 CITY: TULSA STATE: OK ZIP: 74103 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL VISION INC CENTRAL INDEX KEY: 0000868263 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-RETAIL STORES, NEC [5990] IRS NUMBER: 581910859 STATE OF INCORPORATION: GA FISCAL YEAR END: 0102 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-43142 FILM NUMBER: 04928761 BUSINESS ADDRESS: STREET 1: 296 GRAYSON HWY CITY: LAWRENCEVILLE STATE: GA ZIP: 30045 BUSINESS PHONE: 7708223600 MAIL ADDRESS: STREET 1: 296 GRAYSON HIGHWAY CITY: LAWRENCEVILLE STATE: GA ZIP: 30045 FORMER COMPANY: FORMER CONFORMED NAME: VISTA EYECARE INC DATE OF NAME CHANGE: 19990106 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL VISION ASSOCIATES LTD DATE OF NAME CHANGE: 19930328 SC 13G 1 dsc13g.htm SCHEDULE 13G Schedule 13G

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 

 

SCHEDULE 13G

 

 

Under the Securities Exchange Act of 1934

 

 

 

NATIONAL VISION, INC.


(Name of Issuer)

 

Common Stock


(Title of Class of Securities)

 

 

63845P101


                                (CUSIP Number)                                

 

July 13, 2004


(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨ Rule 13d-1(b)

 

x Rule 13d-1(c)

 

¨ Rule 13d-1(d)

 

*   The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).


CUSIP No. 63845P101

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

 

            Charles M. Gillman

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

(a)  [_]

(b)  [  ]

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            United States of America

   

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

  5.    SOLE VOTING POWER

 

                338,700


  6.    SHARED VOTING POWER

 

                0


  7.    SOLE DISPOSITIVE POWER

 

                338,700


  8.    SHARED DISPOSITIVE POWER

 

                0

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            338,700

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)

 

[_]

   
11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

            6.5%

   
12.  

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

 

            IN

   


CUSIP No. 63845P101

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

 

            Boston Avenue Capital, LLC

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

(a)  [_]

(b)  [  ]

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            State of Oklahoma

   

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

  5.    SOLE VOTING POWER

 

                338,700


  6.    SHARED VOTING POWER

 

                0


  7.    SOLE DISPOSITIVE POWER

 

                338,700


  8.    SHARED DISPOSITIVE POWER

 

                0

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            338,700

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)

 

[_]

   
11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

            6.5%

   
12.  

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

 

            OO

   

 


CUSIP No. 63845P101

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

 

            Boulder Capital, LLC

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

(a)  [_]

(b)  [  ]

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            State of Oklahoma

   

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

  5.    SOLE VOTING POWER

 

                 338,700


  6.    SHARED VOTING POWER

 

                 0


  7.    SOLE DISPOSITIVE POWER

 

                338,700


  8.    SHARED DISPOSITIVE POWER

 

                0

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            338,700

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)

 

[_]

   
11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

            6.5%

   
12.  

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

 

            OO

   

 


CUSIP No. 63845P101

 

Item 1

 

(a).

   Name of Issuer:          
         National Vision, Inc.          
   

(b).

   Address of Issuer’s Principal Executive Offices:          
        

296 Grayson Highway

Lawrenceville, GA 30045

         

Item 2

 

(a).

   Name of Person Filing:          
        

Charles M. Gillman

Boston Avenue Capital, LLC

Boulder Capital, LLC

         
   

(b).

   Address of Principal Business Office, or if None, Residence:          
        

Charles M. Gillman

Boston Avenue Capital, LLC

415 South Boston, 9th Floor

Tulsa, Oklahoma 74103

         
        

Boston Avenue Capital, LLC

415 South Boston, 9th Floor

Tulsa, Oklahoma 74103

         
        

Boulder Capital, LLC

415 South Boston, 9th Floor

Tulsa, Oklahoma 74103

         
   

(c).

   Citizenship:          
        

Charles M. Gillman - United States of America

Boston Avenue Capital, LLC - State of Oklahoma

Boulder Capital, LLC - State of Oklahoma

         
   

(d).

   Title of Class of Securities:          
         Common Stock          
   

(e).

   CUSIP Number:          
         CUSIP No. 63845P101          

Item 3.

  If This Statement is filed pursuant to ss.240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:     
    (a)    [_]    Broker or dealer registered under Section 15 of the Exchange Act 15 U.S.C. 78c).
    (b)    [_]    Bank as defined in Section 3(a)(6) of the Exchange Act (15 U.S.C. 78c).
    (c)    [_]    Insurance company as defined in Section 3(a)(19) of the Exchange Act (15 U.S.C. 78c).
    (d)    [_]    Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).
    (e)    [_]    An investment adviser in accordance with s.240.13d-1(b)(1)(ii)(E);
    (f)    [_]    An employee benefit plan or endowment fund in accordance with s.240.13d-1(b)(1)(ii)(F);
    (g)    [_]    A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
    (h)    [_]    A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C.1813);
    (i)    [_]    A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
    (j)    [_]    Group, in accordance with s.240.13d-1(b)(1)(ii)(J).


Item 4.

  

Ownership.

 

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

         
     (a)   

Amount beneficially owned:

 

Charles M. Gillman - 338,700

Boston Avenue Capital, LLC -338,700

Boulder Capital, LLC - 338,700

         
     (b)   

Percent of class:

 

Charles M. Gillman - 6.5%

Boston Avenue Capital, LLC - 6.5%

Boulder Capital, LLC - 6.5%

         
     (c)   

Number of shares as to which the person has:

 

         
          (i)   

Sole power to vote or to direct the vote

 

Charles M. Gillman - 338,700

Boston Avenue Capital LLC -338,700

Boulder Capital, LLC - 338,700

         
          (ii)   

Shared power to vote or to direct the vote

 

0

         
          (iii)   

Sole power to dispose or to direct the disposition of

 

Charles M. Gillman - 338,700

Boston Avenue Capital, LLC - 338,700

Boulder Capital, LLC - 338,700

         
          (iv)   

Shared power to dispose or to direct the disposition of

 

0

         
     The filing of this statement shall not be construed as an admission that any persons or entities filing hereunder are, for purposes of section 13(d) or 13(g) of the Securities and Exchange Act of 1934, as amended, the beneficial owners of any securities covered by this statement.          

Item 5.

  

Ownership of Five Percent or Less of a Class.

 

Not Applicable

    

Item 6.

  

Ownership of More Than Five Percent on Behalf of Another Person.

 

Not Applicable

         

Item 7.

  

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.

 

Not Applicable

Item 8.

  

Identification and Classification of Members of the Group.

 

Exhibit A - the parties expressly disclaim being members of a group.

         

Item 9.

  

Notice of Dissolution of Group.

 

Not Applicable

 

         

Item 10.

  

Certification.

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or

influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect.

         


SIGNATURE

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

July 21, 2004 (Date)
Boston Avenue Capital, LLC

 

/s/ Charles M. Gillman


Charles M. Gillman, Manager

 

 

 

 

EX-99.A 2 dex99a.htm AGREEMENT Agreement

Exhibit A

 

AGREEMENT

 

The undersigned agree that this Schedule 13G dated July 21, 2004 relating to the Common Stock of National Vision, Inc. shall be filed on behalf of the undersigned.

 

Boston Avenue Capital, LLC

By:

 

/s/ Charles M. Gillman


   

Charles M. Gillman,

   

Managing Member

 

Boulder Capital, LLC

By:

 

/s/ Charles M. Gillman


   

Charles M. Gillman,

   

Managing Member

   

/s/ Charles M. Gillman


   

Charles M. Gillman

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