0001277322-18-000009.txt : 20180912
0001277322-18-000009.hdr.sgml : 20180912
20180912163356
ACCESSION NUMBER: 0001277322-18-000009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180910
FILED AS OF DATE: 20180912
DATE AS OF CHANGE: 20180912
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAYLOR THOMAS V
CENTRAL INDEX KEY: 0001277322
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 181067148
MAIL ADDRESS:
STREET 1: 2233 LAKE PARK DRIVE
STREET 2: STE. 400
CITY: SMYRNA
STATE: GA
ZIP: 30080
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_153678441998707.xml
FORM 4
X0306
4
2018-09-10
0
0001710155
National Vision Holdings, Inc.
EYE
0001277322
TAYLOR THOMAS V
C/O NATIONAL VISION HOLDINGS, INC.
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
1
0
0
0
Common Stock
2018-09-10
4
A
0
2197
0
A
2197
D
Restricted stock award granted as director compensation, which will vest in three installments beginning on the first anniversary of the grant date, subject to continued service through the applicable vesting date.
/s/ Jared Brandman, as Attorney-in-Fact
2018-09-12