0002029231-24-000005.txt : 20240710 0002029231-24-000005.hdr.sgml : 20240710 20240710162802 ACCESSION NUMBER: 0002029231-24-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240708 FILED AS OF DATE: 20240710 DATE AS OF CHANGE: 20240710 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Banner Mark CENTRAL INDEX KEY: 0002029231 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38257 FILM NUMBER: 241110224 MAIL ADDRESS: STREET 1: C/O NATIONAL VISION HOLDINGS, INC. STREET 2: 2435 COMMERCE AVENUE, BLDG. 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] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 464841717 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 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_1720643270.xml FORM 4 X0508 4 2024-07-08 0 0001710155 National Vision Holdings, Inc. EYE 0002029231 Banner Mark C/O NATIONAL VISION HOLDINGS, INC. 2435 COMMERCE AVENUE, BLDG 2200 DULUTH GA 30096 0 1 0 0 SVP, CHIEF STORES OFFICER 0 Restricted Stock Units 2024-07-08 4 A 0 35184 0 A Common Stock 35184 35184 D Each restricted stock unit converts into common stock on a one-for-one basis. One-third of these restricted stock units will vest on each anniversary of the grant date, July 8, 2024. /s/ Jared Brandman, as Attorney-in-Fact 2024-07-10