0001767639-22-000002.txt : 20220228 0001767639-22-000002.hdr.sgml : 20220228 20220228164532 ACCESSION NUMBER: 0001767639-22-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220224 FILED AS OF DATE: 20220228 DATE AS OF CHANGE: 20220228 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: 22690635 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: 1231 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_164608470319172.xml FORM 4 X0306 4 2022-02-24 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 2022-02-24 4 M 0 5503 0 A 15621 D Common Stock 2022-02-24 4 F 0 2602 36.64 D 13019 D Represents shares earned by the reporting person pursuant to certain performance restricted stock units (the "PSUs"), which were granted to the reporting person on March 1, 2019. The PSUs were earned based on the attainment of certain performance metrics, which performance metrics were certified by the Compensation Committee of the Board of Directors of the Company on February 24, 2022. Each performance restricted stock unit represents a right to receive one share of the Company's common stock. On February 24, 2022, 5,503 PSUs vested and 2,602 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on February 24, 2022 of the Company's common stock on NASDAQ was $36.64 per share. /s/ Jared Brandman 2022-02-28