0001782487-22-000010.txt : 20221122 0001782487-22-000010.hdr.sgml : 20221122 20221122163818 ACCESSION NUMBER: 0001782487-22-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221118 FILED AS OF DATE: 20221122 DATE AS OF CHANGE: 20221122 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: 221410975 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: 1231 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_166915308310652.xml FORM 4 X0306 4 2022-11-18 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, Finance and Accounting Common Stock 2022-11-18 4 M 0 2744 0 A 10147 D Common Stock 2022-11-18 4 F 0 826 D 9321 D Restricted Stock Units 2022-11-18 4 M 0 2744 0 D Common Stock 2744.0 8362 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. These shares include 283 shares that were acquired pursuant to the employee stock purchase plan, which acquisitions are exempt from Section 16. On November 18, 2022, 2,744 restricted stock units vested and 826 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on November 18, 2022 of the Company's common stock on NASDAQ was $40.02 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