0001719844-24-000002.txt : 20240305
0001719844-24-000002.hdr.sgml : 20240305
20240305161214
ACCESSION NUMBER: 0001719844-24-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240301
FILED AS OF DATE: 20240305
DATE AS OF CHANGE: 20240305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moore Patrick R.
CENTRAL INDEX KEY: 0001719844
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 24720482
MAIL ADDRESS:
STREET 1: C/O NATIONAL VISION HOLDINGS, INC.
STREET 2: 2435 COMMERCE AVENUE, BLDG. 2200
CITY: DULUTH
STATE: GA
ZIP: 30096
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: National Vision Holdings, Inc.
CENTRAL INDEX KEY: 0001710155
STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 464841717
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1230
BUSINESS ADDRESS:
STREET 1: 2435 COMMERCE AVENUE
STREET 2: BLDG. 2200
CITY: DULUTH
STATE: GA
ZIP: 30096-4980
BUSINESS PHONE: (770) 822-3600
MAIL ADDRESS:
STREET 1: 2435 COMMERCE AVENUE
STREET 2: BLDG. 2200
CITY: DULUTH
STATE: GA
ZIP: 30096-4980
4
1
wk-form4_1709673113.xml
FORM 4
X0508
4
2024-03-01
0
0001710155
National Vision Holdings, Inc.
EYE
0001719844
Moore Patrick R.
C/O NATIONAL VISION HOLDINGS, INC.,
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
0
1
0
0
Chief Operating Officer
0
Common Stock
2024-03-02
4
M
0
3062
A
51854
D
Common Stock
2024-03-02
4
F
0
1018
23.54
D
50836
D
Common Stock
2024-03-03
4
M
0
11206
A
62042
D
Common Stock
2024-03-03
4
F
0
3341
23.54
D
58701
D
Restricted Stock Units
2024-03-01
4
A
0
21241
0
A
Common Stock
21241
39504
D
Restricted Stock Units
2024-03-02
4
M
0
3062
0
D
Common Stock
3062
36442
D
Restricted Stock Units
2024-03-03
4
M
0
11206
0
D
Common Stock
11206
25236
D
Restricted stock units convert into common stock on a one-for-one basis.
Reflects payment of tax liability by withholding securities incident to vesting of restricted stock.
One-third of these restricted stock units will vest on each anniversary of the grant date, March 1, 2024.
Total holdings have been adjusted to reflect an inadvertent error in prior Form 4s.
On March 2, 2022, the reporting person was granted 9,187 restricted stock units, which vest in three equal installments on each anniversary of the grant date.
On March 3, 2023, the reporting person was granted 33,618 restricted stock units, which vest in three equal installments on each anniversary of the grant date.
/s/ Jared Brandman, as Attorney-in-Fact
2024-03-05