0001778111-19-000006.txt : 20190613 0001778111-19-000006.hdr.sgml : 20190613 20190613211825 ACCESSION NUMBER: 0001778111-19-000006 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190611 FILED AS OF DATE: 20190613 DATE AS OF CHANGE: 20190613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark Bill CENTRAL INDEX KEY: 0001778111 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 19897463 MAIL ADDRESS: STREET 1: C/O NATIONAL VISION HOLDINGS, INC. STREET 2: 2435 COMMERCE AVENUE, BUILDING 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: 1229 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/A 1 wf-form4a_156047509009652.xml FORM 4/A X0306 4/A 2019-06-11 2019-06-13 0 0001710155 National Vision Holdings, Inc. EYE 0001778111 Clark Bill C/O NATIONAL VISION HOLDINGS, INC. 2435 COMMERCE AVENUE, BLDG. 2200 DULUTH GA 30096-4980 0 1 0 0 SVP, Chief People Officer Stock Option (Right to Buy) 28.48 2019-06-11 4 A 0 23630 28.48 A 2029-06-11 Common Stock 23630.0 23630 D This amended report is being filed to correct the exercise price underlying the stock options granted to the reporting person on June 11, 2019, which number was reported incorrectly in the original report due to an inadvertent error. These options vest in three equal annual installments beginning on June 11, 2020. /s/ Jared Brandman, as Attorney-in-Fact 2019-06-13