0001922081-24-000004.txt : 20240415
0001922081-24-000004.hdr.sgml : 20240415
20240415163751
ACCESSION NUMBER: 0001922081-24-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240411
FILED AS OF DATE: 20240415
DATE AS OF CHANGE: 20240415
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: 24845127
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_1713213459.xml
FORM 4
X0508
4
2024-04-11
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
2024-04-11
4
M
0
1156
A
7322
D
Common Stock
2024-04-11
4
M
0
1830
A
9152
D
Common Stock
2024-04-11
4
F
0
892
19.64
D
8260
D
Restricted Stock Units
2024-04-11
4
M
0
1156
0
D
Common Stock
1156
26451
D
Restricted Stock Units
2024-04-11
4
M
0
1830
0
D
Common Stock
1830
24621
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.
On April 11, 2022, the reporting person was granted 2,312 restricted stock units, which vest in two equal installments on each anniversary of the grant date.
On April 11, 2022, the reporting person was granted 5,491 restricted stock units, which vest in three equal installments on each anniversary of the grant date.
Jared Brandman, as Attorney-in-Fact
2024-04-15