0001181253-22-000006.txt : 20220304 0001181253-22-000006.hdr.sgml : 20220304 20220304163956 ACCESSION NUMBER: 0001181253-22-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220302 FILED AS OF DATE: 20220304 DATE AS OF CHANGE: 20220304 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: 22714669 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_164642997229539.xml FORM 4 X0306 4 2022-03-02 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 2022-03-02 4 M 0 25000 35.19 A 487658 D Common Stock 363430 I Held by Trust Restricted Stock Units 2022-03-02 4 A 0 42651 0 A Common Stock 42651.0 63093 D Stock Option (Right to Buy) 35.19 2022-03-02 4 M 0 25000 0 D 2029-03-01 Common Stock 25000.0 54114 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. The restricted stock units will vest in three equal annual installments beginning on the first anniversary of the grant date. These stock options are fully vested. /s/ Jared Brandman, as Attorney-in-Fact 2022-03-04