0001778111-21-000002.txt : 20210302 0001778111-21-000002.hdr.sgml : 20210302 20210302163619 ACCESSION NUMBER: 0001778111-21-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210228 FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark Bill CENTRAL INDEX KEY: 0001778111 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 21704285 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: 0102 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_161472093932490.xml FORM 4 X0306 4 2021-02-28 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 Common Stock 2021-02-28 4 M 0 766 0 A 766 D Common Stock 2021-02-28 4 F 0 272 D 494 D Restricted Stock Units 2021-02-28 4 M 0 766 0 D Common Stock 766.0 12509 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. On February 28, 2021, 766 restricted stock units vested and 272 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on February 26, 2021 (as February 28, 2021 fell on a weekend) of the Company's common stock on NASDAQ was $47.49 per share. On February 28, 2020, the reporting person was granted 2.298 restricted stock units, vesting in three equal annual installments beginning on the first anniversary of the grant date. /s/ Jared Brandman, as Attorney-in-Fact 2021-03-02