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