0001719842-19-000002.txt : 20190115
0001719842-19-000002.hdr.sgml : 20190115
20190115163130
ACCESSION NUMBER: 0001719842-19-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190111
FILED AS OF DATE: 20190115
DATE AS OF CHANGE: 20190115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vaught John
CENTRAL INDEX KEY: 0001719842
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 19527373
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: 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_154758787328050.xml
FORM 4
X0306
4
2019-01-11
0
0001710155
National Vision Holdings, Inc.
EYE
0001719842
Vaught John
C/O NATIONAL VISION HOLDINGS, INC.
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
0
1
0
0
SVP, Chief Information Officer
Common Stock
2019-01-11
4
M
0
36459
4.27
A
36459
D
Common Stock
2019-01-11
4
S
0
36459
30.493
D
0
D
Common Stock
2019-01-11
4
M
0
6284
7.25
A
6284
D
Common Stock
2019-01-11
4
S
0
6284
30.04
D
0
D
Stock Option (Right to Buy)
4.27
2019-01-11
4
M
0
36459
0
D
2024-03-13
Common Stock
36459.0
13426
D
Stock Option (Right to Buy)
7.25
2019-01-11
4
M
0
6284
7.25
D
2024-03-13
Common Stock
6284.0
4137
D
Price represents the weighted average sales price. The shares were sold pursuant to a single order in multiple transactions as prices ranging from $30.17 to $30.89. 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.
Price represents the weighted average sales price. The shares were sold pursuant to a single order in multiple transactions as prices ranging from $30.00 to $30.14. 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 13,426 stock options, none are vested and 13,426 stock options will vest on March 13, 2019. An additional 37,762 stock options which remain subject to liquidity-event performance-based vesting conditions are not included in the table above.
These stock options are fully vested.
/s/ Jared Brandman, as Attorney-in-Fact
2019-01-15