0001397236-23-000002.txt : 20230616
0001397236-23-000002.hdr.sgml : 20230616
20230616163407
ACCESSION NUMBER: 0001397236-23-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230614
FILED AS OF DATE: 20230616
DATE AS OF CHANGE: 20230616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hepner Virginia A
CENTRAL INDEX KEY: 0001397236
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 231021755
MAIL ADDRESS:
STREET 1: 415 EAST PACES FERRY ROAD
STREET 2: SUITE 200
CITY: ATLANTA
STATE: GA
ZIP: 30305
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
wk-form4_1686947637.xml
FORM 4
X0407
4
2023-06-14
0
0001710155
National Vision Holdings, Inc.
EYE
0001397236
Hepner Virginia A
C/O NATIONAL VISION HOLDINGS, INC.,
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096
1
0
0
0
0
Common Stock
2023-06-14
4
A
0
5352
0
A
22976
D
Represents a restricted stock unit ("RSU") grant pursuant to NVHI's non-employee director compensation policy. The RSUs vest in full on the one year anniversary of the date of grant, subject to the Reporting Person's continuous service through such vesting date.
Each RSU represents a contingent right to receive one share of NVHI common stock.
/s/ Jared Brandman, as Attorney-in-Fact
2023-06-16