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