0001277322-20-000002.txt : 20200615
0001277322-20-000002.hdr.sgml : 20200615
20200615163526
ACCESSION NUMBER: 0001277322-20-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200611
FILED AS OF DATE: 20200615
DATE AS OF CHANGE: 20200615
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: 20963835
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: 0102
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_159225330599758.xml
FORM 4
X0306
4
2020-06-11
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
2020-06-11
4
A
0
3632
0
A
12971
D
Restricted stock award granted as director compensation, which will vest on the first anniversary of the grant date, subject to continued service through the applicable vesting date.
/s/ Jared Brandman, as Attorney-in-Fact
2020-06-15