0001767639-20-000002.txt : 20200303
0001767639-20-000002.hdr.sgml : 20200303
20200303162903
ACCESSION NUMBER: 0001767639-20-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200228
FILED AS OF DATE: 20200303
DATE AS OF CHANGE: 20200303
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brandman Jared
CENTRAL INDEX KEY: 0001767639
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 20682732
MAIL ADDRESS:
STREET 1: C/O NATIONAL VISION HOLDINGS, INC.
STREET 2: 2435 COMMERCE AVENUE BLDG. 2200
CITY: DULUTH
STATE: GA
ZIP: 30096-4980
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_158327092604842.xml
FORM 4
X0306
4
2020-02-28
0
0001710155
National Vision Holdings, Inc.
EYE
0001767639
Brandman Jared
C/O NATIONAL VISION HOLDINGS, INC.
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096-4980
0
1
0
0
SVP, GC and Secretary
Restricted Stock Units
2020-02-28
4
A
0
1795
0
A
Common Stock
1795.0
12772
D
Stock Option (Right to Buy)
34.82
2020-02-28
4
A
0
4566
34.82
A
2030-02-28
Common Stock
4566.0
4566
D
Each restricted stock unit represents a contingent right to receive one share of NVHI common stock.
The restricted stock units will vest in three equal annual installments beginning on the first anniversary of the grant date.
The option vests in three equal annual installments beginning on the first anniversary of the grant date.
/s/ Jared Brandman
2020-03-03