0001782487-24-000002.txt : 20240305
0001782487-24-000002.hdr.sgml : 20240305
20240305161338
ACCESSION NUMBER: 0001782487-24-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240301
FILED AS OF DATE: 20240305
DATE AS OF CHANGE: 20240305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rasmussen Melissa
CENTRAL INDEX KEY: 0001782487
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 24720514
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]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 464841717
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1230
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
wk-form4_1709673200.xml
FORM 4
X0508
4
2024-03-01
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
Chief Financial Officer
0
Common Stock
2024-03-02
4
M
0
1531
A
16251
D
Common Stock
2024-03-02
4
F
0
538
23.54
D
15713
D
Common Stock
2024-03-03
4
M
0
6537
A
22250
D
Common Stock
2024-03-03
4
F
0
2064
23.54
D
20186
D
Restricted Stock Units
2024-03-01
4
A
0
10621
0
A
Common Stock
10621
17479
D
Restricted Stock Units
2024-03-02
4
M
0
1531
0
D
Common Stock
1531
15948
D
Restricted Stock Units
2024-03-03
4
M
0
6537
0
D
Common Stock
6537
9411
D
Restricted stock units convert into common stock on a one-for-one basis.
Includes 123 shares acquired under the 2018 Associate Stock Purchase Plan.
Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
One-third of these restricted stock units will vest on each anniversary of the grant date, March 1, 2024.
Total holdings have been adjusted to reflect an inadvertent error in prior Form 4s.
On March 2, 2022, the reporting person was granted 4,594 restricted stock units, which vest in three equal installments on each anniversary of the grant date.
On March 3, 2023, the reporting person was granted 19,611 restricted stock units, which vest in three equal installments on each anniversary of the grant date.
/s/ Jared Brandman, as Attorney-in-Fact
2024-03-05