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