0001767639-24-000006.txt : 20240501 0001767639-24-000006.hdr.sgml : 20240501 20240501163110 ACCESSION NUMBER: 0001767639-24-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240429 FILED AS OF DATE: 20240501 DATE AS OF CHANGE: 20240501 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: 24903536 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_1714595459.xml FORM 4 X0508 4 2024-04-29 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 Restricted Stock Units 2024-04-29 4 A 0 5669 0 A Common Stock 5669 31068 D Each restricted stock unit converts into common stock on a one-for-one basis. One-third of these restricted stock units will vest on each anniversary of the grant date, April 29, 2024. /s/ Jared Brandman 2024-05-01