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