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