0001782487-22-000008.txt : 20220308 0001782487-22-000008.hdr.sgml : 20220308 20220308164850 ACCESSION NUMBER: 0001782487-22-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220305 FILED AS OF DATE: 20220308 DATE AS OF CHANGE: 20220308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rasmussen Melissa CENTRAL INDEX KEY: 0001782487 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 22722356 MAIL ADDRESS: STREET 1: NATIONAL VISION HOLDINGS, INC. STREET 2: 2435 COMMERCE AVENUE BLDG 2200 CITY: DULUTH STATE: GA ZIP: 30095 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: National Vision Holdings, Inc. CENTRAL INDEX KEY: 0001710155 STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851] IRS NUMBER: 464841717 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 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 wf-form4_164677611501568.xml FORM 4 X0306 4 2022-03-05 0 0001710155 National Vision Holdings, Inc. EYE 0001782487 Rasmussen Melissa C/O NATIONAL VISION HOLDINGS, INC. 2435 COMMERCE AVENUE, BLDG. 2200 DULUTH GA 30096-4980 0 1 0 0 SVP, Chief Accounting Officer Common Stock 2022-03-05 4 M 0 319 0 A 7430 D Common Stock 2022-03-05 4 F 0 97 D 7333 D Restricted Stock Units 2022-03-05 4 M 0 319 0 D Common Stock 319.0 11106 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. On March 5, 2022, 319 restricted stock units vested and 97 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on March 4, 2022 (as March 5, 2022 fell on a weekend) of the Company's common stock on NASDAQ was $38.55 per share. On March 5, 2021, the reporting person was granted 959 restricted stock units, vesting in three equal annual installments beginning on the first anniversary of the grant date. /s/ Jared Brandman, as Attorney-in-Fact 2022-03-08