SEC Form 4 · accession 0001261163-18-000008
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
Jul 30, 2018
Accepted (ET)
Aug 1, 2018 · 4:15 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 StockF1 | Jul 30, 2018 | S | 40,859 | $38.2594 | 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)F2,F3 | $4.27 | Jul 30, 2018 | A | 57,672 | A | — | Mar 13, 2024 | Common Stock | 57,672 | 99,069 | D |
Explanation of responses
- F1This amount represents the secondary public offering price per share of common stock of National Vision Holdings, Inc. of $39.75, less the underwriting discount of $1.4906 per share.
- F2On March 13, 2014, the reporting person was granted stock options, subject to time-based and performance-based vesting. On July 30, 2018, a liquidity event with respect to such performance-based stock options occurred as a result of sales by the Issuer's sponsor stockholders and 57,672 stock options which had previously not been reported were deemed earned.
- F3Of the 99,069 stock options reported herein, 77,099 are vested and the remaining 21,970 time-based stock options will vest on March 13, 2019. An additional 107,106 stock options which remain subject to liquidity-event performance-based vesting conditions are not included in the table above.