SEC Form 4 · accession 0001261163-18-000004
National Vision Holdings, Inc. · EYE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeff Busbee
Officer — SVP, Chief HR Officer
Period of report
Mar 22, 2018
Accepted (ET)
Mar 26, 2018 · 5:05 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001710155
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 22, 2018 | M | 5,625 | $7.25 | A | 71,468 | D | |
| Common StockF2 | Mar 26, 2018 | S | 5,625 | $31.68 | D | 65,843 | D |
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)F3 | $7.25 | Mar 22, 2018 | M | 5,625 | D | — | Mar 13, 2024 | Common Stock | 5,625 | 16,345 | D |
Explanation of responses
- F1Represents an exercise of stock options in connection with the Reporting Person's sale of shares of common stock in an underwritten public offering.
- F2This amount represents the secondary public offering price per share of common stock of National Vision Holdings, Inc., less the underwriting discount of $1.32 per share, in connection with the exercise of the underwriters' over-allotment option.
- F3These stock options are fully vested.