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