0001922081-23-000004.txt : 20230413 0001922081-23-000004.hdr.sgml : 20230413 20230413162149 ACCESSION NUMBER: 0001922081-23-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230411 FILED AS OF DATE: 20230413 DATE AS OF CHANGE: 20230413 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: 23818595 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_168141728786126.xml FORM 4 X0407 4 2023-04-11 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 0 Common Stock 2023-04-11 4 M 0 1156 0 A 1156 D Common Stock 2023-04-11 4 F 0 410 0 D 746 D Common Stock 2023-04-11 4 M 0 1830 0 A 2576 D Common Stock 2023-04-11 4 F 0 648 0 D 1928 D Restricted Stock Units 2023-04-11 4 M 0 1156 0 D Common Stock 1156.0 25697 D Restricted Stock Units 2023-04-11 4 M 0 1830 0 D Common Stock 1830.0 23867 D Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. On April 11, 2023, 1,156 restricted stock units vested and 410 shares of the Company's stock were withheld to satisfy tax withholding obligations. The closing price on April 11, 2023 of the Company's common stock on NASDAQ was $20.30 per share. On April 11, 2023, 1,830 restricted stock units vested and 648 shares of the Company's stock were withheld to satisfy tax withholding obligations. The closing price on April 11, 2023 of the Company's common stock on NASDAQ was $20.30 per share. On April 11, 2022, the reporting person was granted 2,312 restricted stock units, vesting in two equal installments beginning on the first anniversary of the grant date. On April 11, 2022, the reporting person was granted 5,491 restricted stock units, vesting in three equal installments beginning on the first anniversary of the grant date. /s/ Jared Brandman, Attorney-in-Fact 2023-04-13