0001767639-24-000004.txt : 20240307
0001767639-24-000004.hdr.sgml : 20240307
20240307161524
ACCESSION NUMBER: 0001767639-24-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240305
FILED AS OF DATE: 20240307
DATE AS OF CHANGE: 20240307
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brandman Jared
CENTRAL INDEX KEY: 0001767639
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 24730297
MAIL ADDRESS:
STREET 1: C/O NATIONAL VISION HOLDINGS, INC.
STREET 2: 2435 COMMERCE AVENUE BLDG. 2200
CITY: DULUTH
STATE: GA
ZIP: 30096-4980
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_1709846111.xml
FORM 4
X0508
4
2024-03-05
0
0001710155
National Vision Holdings, Inc.
EYE
0001767639
Brandman Jared
C/O NATIONAL VISION HOLDINGS, INC.
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
0
1
0
0
SVP, GC and Secretary
0
Common Stock
2024-03-05
4
M
0
639
A
33665
D
Common Stock
2024-03-05
4
F
0
191
22.62
D
33474
D
Common Stock
2024-03-05
4
M
0
2556
0
A
36030
D
Common Stock
2024-03-05
4
F
0
763
22.62
D
35267
D
Restricted Stock Units
2024-03-05
4
M
0
639
0
D
Common Stock
639
8543
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 units.
Reflects the issuance of shares upon vesting of performance stock units granted to the reporting person on March 5, 2021.
Reflects payment of tax liability by withholding securities incident to vesting of performance stock units.
On March 5, 2021, the reporting person was granted 1,917 restricted stock units, vesting in three equal annual installments beginning on each anniversary of the grant date.
/s/ Jared Brandman
2024-03-07