SEC Form 4 · accession 0001261163-18-000010

National Vision Holdings, Inc. · EYE

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — SVP, Chief HR Officer

Period of report

Jul 31, 2018

Accepted (ET)

Aug 2, 2018 · 4:24 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	Jul 31, 2018	M	6,782	$4.27	A	72,625	D
Common Stock^F1	Aug 2, 2018	S	6,782	$38.2594	D	65,843	D

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	Aug 2, 2018	A	8,239	A	—	Mar 13, 2024	Common Stock	8,239	107,308	D
Stock Option (Right to Buy)^F3	$4.27	Jul 31, 2018	M	6,782	D	—	Mar 13, 2024	Common Stock	6,782	100,526	D

F1This amount represents the secondary public offering price per share of common stock of National Vision Holdings, Inc., less the underwriting discount of $1.4906 per share, in connection with the exercise of the underwriters' over-allotment option.
F2On March 13, 2014, the reporting person was granted stock options, subject to time-based and performance-based vesting. On August 2, 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 8,239 stock options which had previously not been reported were deemed earned.
F3Of the 100,526 stock options reported herein, 78,556 are vested and the remaining 21,970 time-based stock options will vest on March 13, 2019. An additional 98,867 stock options which remain subject to liquidity-event performance-based vesting conditions are not included in the table above.