SEC Form 4 · accession 0001140361-17-039820
National Vision Holdings, Inc. · EYE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick R. Moore
Officer — SVP, Chief Financial Officer
Period of report
Oct 25, 2017
Accepted (ET)
Oct 27, 2017 · 4:30 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001710155
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $22.00 | Oct 25, 2017 | A | 92,443 | A | — | Oct 25, 2027 | Common Stock | 92,443 | 92,443 | D |
Explanation of responses
- F1These stock options will vest in three equal annual installments beginning on October 25, 2018.