0001719312-19-000004.txt : 20190516
0001719312-19-000004.hdr.sgml : 20190516
20190516163120
ACCESSION NUMBER: 0001719312-19-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190514
FILED AS OF DATE: 20190516
DATE AS OF CHANGE: 20190516
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Beasley Chris
CENTRAL INDEX KEY: 0001719312
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 19832660
MAIL ADDRESS:
STREET 1: C/O NATIONAL VISION HOLDINGS, INC.
STREET 2: 2435 COMMERCE AVENUE, BLDG. 2200
CITY: DULUTH
STATE: GA
ZIP: 30096
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: 1229
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_155803866550614.xml
FORM 4
X0306
4
2019-05-14
0
0001710155
National Vision Holdings, Inc.
EYE
0001719312
Beasley Chris
C/O NATIONAL VISION HOLDINGS, INC.,
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
0
1
0
0
SVP, Accounting, & Controller
Common Stock
2019-05-14
4
M
0
25000
5.25
A
25000
D
Common Stock
2019-05-14
4
S
0
25000
26.988
D
0
D
Stock Option (Right to Buy)
5.25
2019-05-14
4
M
0
25000
5.25
D
2025-09-01
Common Stock
25000.0
49818
D
Price represents the weighted average sales price. The shares were sold pursuant to a single order in multiple transactions as prices ranging from $26.85 to $27.22. Upon request by the SEC staff, the issuer or a security holder of the issuer, the reporting person will provide full information regarding the number of shares sold at each separate price.
Of these 49,818 stock options, 25,407 are vested and the remaining 24,411 stock options will vest in two equal annual installments on September 1, 2019 and 2020. An additional 34,329 stock options which remain subject to liquidity-event performance-based vesting conditions are not included in the table above.
/s/ Jared Brandman, as Attorney-in-Fact
2019-05-16