0001710155-18-000044.txt : 20181002
0001710155-18-000044.hdr.sgml : 20181002
20181002163201
ACCESSION NUMBER: 0001710155-18-000044
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180724
FILED AS OF DATE: 20181002
DATE AS OF CHANGE: 20181002
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: 181101735
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_153851230313345.xml
FORM 4
X0306
4
2018-07-24
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
2018-07-24
4
F
0
1001
39.82
D
7989
D
Represents shares used to satisfy tax withholding obligation upon vesting of restricted stock previously granted as director compensation.
Includes 6,871 unvested shares of restricted stock.
/s/ Jared Brandman, as Attorney-in-Fact
2018-10-02