0001782487-21-000006.txt : 20210519 0001782487-21-000006.hdr.sgml : 20210519 20210519163814 ACCESSION NUMBER: 0001782487-21-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210518 FILED AS OF DATE: 20210519 DATE AS OF CHANGE: 20210519 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rasmussen Melissa CENTRAL INDEX KEY: 0001782487 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 21940812 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: 0101 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_162145666331730.xml FORM 4 X0306 4 2021-05-18 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 Common Stock 2021-05-18 4 M 0 2293 31.73 A 2651 D Common Stock 2021-05-18 4 S 0 2293 50.30 D 358 D Common Stock 2021-05-18 4 M 0 974 34.82 A 1332 D Common Stock 2021-05-18 4 S 0 974 50.37 D 358 D Stock Option (Right to Buy) 31.73 2021-05-18 4 M 0 2293 0 D 2029-07-29 Common Stock 2293.0 4586 D Stock Option (Right to Buy) 34.82 2021-05-18 4 M 0 974 0 D 2030-02-28 Common Stock 974.0 1948 D Price represents the weighted average sales price. The shares were sold pursuant to a single order in multiple transactions as prices ranging from $50.26 to $50.35. Upon request by the SEC staff, the issuer or a security holder of the issuer, the reporting person will provide full information regarding the number of shares sold at each separate price. Price represents the weighted average sales price. The shares were sold pursuant to a single order in multiple transactions as prices ranging from $50.31 to $50.37. Upon request by the SEC staff, the issuer or a security holder of the issuer, the reporting person will provide full information regarding the number of shares sold at each separate price. On July 29, 2019, reporting person was granted 6,879 stock options. 2,293 stock options vested on July 29, 2020. Of the remaining 4,586 stock options, 50% will vest on July 29, 2021 and 50% will vest on July 29, 2022. On February 28, 2020, reporting person was granted 2,922 stock options. 974 stock options vested on February 28, 2021. Of the remaining 1,948 stock options, 50% will vest on February 28, 2022 and 50% will vest on February 28, 2023. /s/ Jared Brandman, as Attorney-in-Fact 2021-05-19