0001181253-21-000014.txt : 20211116
0001181253-21-000014.hdr.sgml : 20211116
20211116163257
ACCESSION NUMBER: 0001181253-21-000014
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211112
FILED AS OF DATE: 20211116
DATE AS OF CHANGE: 20211116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FAHS L READE
CENTRAL INDEX KEY: 0001181253
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 211416566
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: 0101
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_163709796291446.xml
FORM 4
X0306
4
2021-11-12
0
0001710155
National Vision Holdings, Inc.
EYE
0001181253
FAHS L READE
C/O NATIONAL VISION HOLDINGS, INC.,
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
1
1
0
0
Chief Executive Officer
Common Stock
2021-11-12
4
G
0
160000
0
D
452508
D
Common Stock
2021-11-12
4
G
0
160000
0
A
343430
I
Held by Trust
On November 12, 2021, the reporting person transferred 160,000 shares of common stock to a family trust. The reporting person's spouse is trustee of the trust.
/s/ Jared Brandman, as Attorney-in-Fact
2021-11-16