0001710155-22-000030.txt : 20220617
0001710155-22-000030.hdr.sgml : 20220617
20220617163530
ACCESSION NUMBER: 0001710155-22-000030
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220615
FILED AS OF DATE: 20220617
DATE AS OF CHANGE: 20220617
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Johnson Susan S
CENTRAL INDEX KEY: 0001616181
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 221024415
MAIL ADDRESS:
STREET 1: 303 PEACHTREE STREET, NE
CITY: ATLANTA
STATE: GA
ZIP: 30308
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: 1231
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_165549808550387.xml
FORM 4
X0306
4
2022-06-15
0
0001710155
National Vision Holdings, Inc.
EYE
0001616181
Johnson Susan S
C/O NATIONAL VISION HOLDINGS, INC.
2435 COMMERCE AVENUE, BLDG 2200
DULUTH
GA
30096
1
0
0
0
Common Stock
2022-06-15
4
A
0
7832
0
A
12261
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
2022-06-17