0001782487-19-000008.txt : 20190801 0001782487-19-000008.hdr.sgml : 20190801 20190801163842 ACCESSION NUMBER: 0001782487-19-000008 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190729 FILED AS OF DATE: 20190801 DATE AS OF CHANGE: 20190801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rasmussen Melissa CENTRAL INDEX KEY: 0001782487 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 19993214 MAIL ADDRESS: STREET 1: NATIONAL VISION HOLDINGS, INC. STREET 2: 2435 COMMERCE AVENUE BLDG 2200 CITY: DULUTH STATE: GA ZIP: 30095 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_156469190568493.xml FORM 4/A X0306 4/A 2019-07-29 2019-07-31 0 0001710155 National Vision Holdings, Inc. EYE 0001782487 Rasmussen Melissa C/O NATIONAL VISION HOLDINGS, INC. 2435 COMMERCE AVENUE, BLDG. 2200 DULUTH GA 30096-4980 0 1 0 0 SVP, Chief Accounting Officer Stock Option (Right to Buy) 31.73 2019-07-29 4 A 0 6879 31.73 A 2029-07-29 Common Stock 6879.0 6879 D This amended report is being filed to correct the exercise price underlying the stock options granted to the reporting person on July 29, 2019, which number was reported incorrectly in the original report due to an inadvertent error. These options vest in three equal installments beginning on July 29, 2020. /s/ Jared Brandman, as Attorney-in-Fact 2019-08-01