0001804913-23-000004.txt : 20230306
0001804913-23-000004.hdr.sgml : 20230306
20230306165550
ACCESSION NUMBER: 0001804913-23-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230302
FILED AS OF DATE: 20230306
DATE AS OF CHANGE: 20230306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Acharya Ravi
CENTRAL INDEX KEY: 0001804913
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38257
FILM NUMBER: 23709658
MAIL ADDRESS:
STREET 1: C/O NATIONAL VISION HOLDINGS, INC.
STREET 2: 2435 COMMERCE AVE., BUILDING 2200
CITY: DULUTH
STATE: GA
ZIP: 30096
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: 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
wf-form4_167813973898273.xml
FORM 4
X0306
4
2023-03-02
0
0001710155
National Vision Holdings, Inc.
EYE
0001804913
Acharya Ravi
C/O NATIONAL VISION HOLDINGS, INC.
2435 COMMERCE AVENUE, BLDG. 2200
DULUTH
GA
30096
0
1
0
0
SVP, Chief Technology Officer
Common Stock
2023-03-02
4
M
0
2078
0
A
3472
D
Common Stock
2023-03-02
4
F
0
626
D
2846
D
Common Stock
2023-03-02
4
M
0
5816
0
A
8662
D
Common Stock
2023-03-02
4
F
0
1842
0
D
6820
D
Restricted Stock Units
2023-03-02
4
M
0
2078
0
D
Common Stock
2078.0
6331
D
Each restricted stock unit represents a contingent right to receive one share of NVHI common stock.
On March 2, 2023, 2,078 restricted stock units vested and 626 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on March 2, 2023 of the Company's common stock on NASDAQ was $22.88 per share.
Represents shares earned by the reporting person pursuant to certain performance restricted stock units (the "PSUs"), which were granted to the reporting person on February 28, 2020. The PSUs were earned based on the attainment of certain performance metrics, which performance metrics were certified by the Compensation Committee of the Board of Directors of the Company on March 2, 2023.
Each performance restricted stock unit represents a right to receive one share of NVHI common stock.
On March 2, 2023, 5,816 PSUs vested and 1,842 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on March 2, 2023 of the Company's common stock on NASDAQ was $22.88 per share.
On March 2, 2022, the reporting person was granted 6,234 restricted stock units, vesting in three equal annual installments beginning on the first anniversary of the grant date.
/s/ Jared Brandman, as Attorney-in-Fact
2023-03-06