0001719844-19-000008.txt : 20191219
0001719844-19-000008.hdr.sgml : 20191219
20191219163534
ACCESSION NUMBER: 0001719844-19-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191217
FILED AS OF DATE: 20191219
DATE AS OF CHANGE: 20191219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moore Patrick R.
CENTRAL INDEX KEY: 0001719844
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 191296219
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: 1228
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_157679131484568.xml
FORM 4
X0306
4
2019-12-17
0
0001710155
National Vision Holdings, Inc.
EYE
0001719844
Moore Patrick R.
C/O NATIONAL VISION HOLDINGS, INC.,
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
0
1
0
0
SVP, Chief Financial Officer
Common Stock
2019-12-17
4
M
0
23
4.27
A
4523
D
Common Stock
2019-12-17
4
S
0
23
32
D
4500
D
Common Stock
2019-12-18
4
M
0
69977
4.27
A
74477
D
Common Stock
2019-12-18
4
S
0
69977
32
D
4500
D
Stock Option (Right to Buy)
4.27
2019-12-17
4
M
0
23
0
D
2024-09-16
Common Stock
23.0
128137
D
Stock Option (Right to Buy)
4.27
2019-12-18
4
M
0
69977
0
D
2024-09-16
Common Stock
69977.0
58160
D
The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan established by the reporting person on August 30, 2019.
These stock options are fully vested.
/s/ Jared Brandman, as Attorney-in-Fact
2019-12-19