0001710155-18-000025.txt : 20180608
0001710155-18-000025.hdr.sgml : 20180608
20180608170134
ACCESSION NUMBER: 0001710155-18-000025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180607
FILED AS OF DATE: 20180608
DATE AS OF CHANGE: 20180608
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TEHLE DAVID M
CENTRAL INDEX KEY: 0001245010
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 18890193
MAIL ADDRESS:
STREET 1: 100 MISSION RIDGE
CITY: GOODLETTSVILLE
STATE: TN
ZIP: 37072
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: 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
wf-form4_152849167620646.xml
FORM 4
X0306
4
2018-06-07
0
0001710155
National Vision Holdings, Inc.
EYE
0001245010
TEHLE DAVID M
C/O NATIONAL VISION HOLDINGS, INC.,
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
1
0
0
0
Common Stock
2018-06-07
4
A
0
2633
37.98
A
8990
D
Restricted stock award granted as director compensation, which will vest in three installments beginning on the first anniversary of the grant dated, subject to continued service through the applicable vesting date.
/s/ Jared Brandman, as Attorney-in-Fact
2018-06-08