0001767639-21-000010.txt : 20211122
0001767639-21-000010.hdr.sgml : 20211122
20211122163940
ACCESSION NUMBER: 0001767639-21-000010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211118
FILED AS OF DATE: 20211122
DATE AS OF CHANGE: 20211122
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: 211433063
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: 0101
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_163761716651278.xml
FORM 4
X0306
4
2021-11-18
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
Common Stock
2021-11-18
4
M
0
5488
0
A
12594
D
Common Stock
2021-11-18
4
F
0
2476
D
10118
D
Restricted Stock Units
2021-11-18
4
M
0
5488
0
D
Common Stock
5488.0
8603
D
Each restricted stock unit represents a contingent right to receive one share of NVHI common stock.
These shares include 2,220 shares that were acquired pursuant to the employee stock purchase plan, which acquisitions are exempt from Section 16.
On November 18, 2021, 5,488 restricted stock units vested and 2,476 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on November 18, 2021 of the Company's common stock on NASDAQ was $48.330 per share.
On November 18, 2019, the reporting person was granted 5,488 restricted stock units, which will vest in three installments, with 5,488 shares vesting on the second anniversary of the grant date, 2,744 shares vesting on the third anniversary of the grant date and 2,745 shares vesting on the fourth anniversary of the grant date.
/s/ Jared Brandman
2021-11-22