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