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