0001922081-24-000002.txt : 20240305
0001922081-24-000002.hdr.sgml : 20240305
20240305161736
ACCESSION NUMBER: 0001922081-24-000002
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: VanDette Joseph
CENTRAL INDEX KEY: 0001922081
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 24720663
MAIL ADDRESS:
STREET 1: C/O NATIONAL VISION HOLDINGS, INC.
STREET 2: 2435 COMMERCE AVE., BUILDING 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_1709673435.xml
FORM 4
X0508
4
2024-03-01
0
0001710155
National Vision Holdings, Inc.
EYE
0001922081
VanDette Joseph
C/O NATIONAL VISION HOLDINGS, INC.
2435 COMMERCE AVENUE, BLDG 2200
DULUTH
GA
30096
0
1
0
0
SVP, Chief Marketing Officer
0
Common Stock
2024-03-03
4
M
0
6350
A
8278
D
Common Stock
2024-03-03
4
F
0
2112
23.54
D
6166
D
Restricted Stock Units
2024-03-01
4
A
0
10090
0
A
Common Stock
10090
21257
D
Restricted Stock Units
2024-03-03
4
M
0
6350
0
D
Common Stock
6350
14907
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.
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 3, 2023, the reporting person was granted 19,050 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