0001922081-22-000007.txt : 20220413 0001922081-22-000007.hdr.sgml : 20220413 20220413164445 ACCESSION NUMBER: 0001922081-22-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220411 FILED AS OF DATE: 20220413 DATE AS OF CHANGE: 20220413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VanDette Joseph CENTRAL INDEX KEY: 0001922081 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 22825157 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: 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_164988266949692.xml FORM 4 X0306 4 2022-04-11 0 0001710155 National Vision Holdings, Inc. EYE 0001922081 VanDette Joseph C/O NATIONAL VISION HOLDINGS, INC. 2435 COMMERCE AVENUE, BLDG 2200 DULUTH GA 30096 0 1 0 0 SVP, Chief Marketing Officer Restricted Stock Units 2022-04-11 4 A 0 5491 0 A Common Stock 5491.0 5491 D Restricted Stock Units 2022-04-11 4 A 0 2312 0 A Common Stock 2312.0 7803 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. The restricted stock units will vest in three equal installments beginning on the first anniversary of the grant date. The restricted stock units will vest in two equal installments beginning on the first anniversary of the grant date. /s/ Jared Brandman, Attorney-in-Fact 2022-04-13