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