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