0001778111-23-000008.txt : 20231121 0001778111-23-000008.hdr.sgml : 20231121 20231121162701 ACCESSION NUMBER: 0001778111-23-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231118 FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 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: 231428521 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: 1230 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 wk-form4_1700602009.xml FORM 4 X0508 4 2023-11-18 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 0 Common Stock 2023-11-18 4 M 0 2745 0 A 25036 D Common Stock 2023-11-18 4 F 0 827 D 24209 D Restricted Stock Units 2023-11-18 4 M 0 2745 0 D Common Stock 2745 8278 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. On November 18, 2023, 2,745 restricted stock units vested and 827 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on November 17, 2023 (as November 18, 2023 fell on a weekend) of the Company's common stock on NASDAQ was $19.33 per share. On November 18, 2019, the reporting person was granted 10,977 restricted stock units, which will vest in three installments, with 5,488 shares vesting on the second anniversary of the grant date, 2,744 sharesvesting on the third anniversary of the grant date and 2,745 shares vesting on the fourth anniversary of the grant date. /s/ Jared Brandman, as Attorney-in-Fact 2022-11-22