SEC Form 4 · accession 0001261163-18-000014
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
Sep 24, 2018
Accepted (ET)
Sep 26, 2018 · 5:45 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 | Sep 24, 2018 | M | 36,771 | $4.27 | A | 98,864 | D | |
| Common Stock | Sep 24, 2018 | S | 36,771 | $42.40 | D | 62,093 | 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 | $4.27 | Sep 24, 2018 | M | 36,771 | D | — | Mar 13, 2024 | Common Stock | 36,771 | 63,755 | D |
Explanation of responses
- F1The sale reported on this Form 4 was effected pursuant to a Rule 10b5-1 trading plan established by the reporting person on August 23, 2018
- F2Of these 100,526 stock options, 78,556 are vested and the remaining 21,970 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.