SEC Form 4 · accession 0001719313-18-000002
National Vision Holdings, Inc. · EYE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles Foell
Officer — SVP, Manuf. And Distrib.
Period of report
Mar 14, 2018
Accepted (ET)
Mar 16, 2018 · 4:55 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 14, 2018 | M | 13,426 | $8.23 | A | 23,597 | D | |
| Common Stock | Mar 14, 2018 | M | 3,380 | $7.25 | A | 26,977 | D | |
| Common Stock | Mar 14, 2018 | F | 10,702 | $33.57 | D | 16,275 | 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 | $8.23 | Mar 14, 2018 | M | 13,426 | D | — | Mar 13, 2024 | Common Stock | 13,426 | 0 | D |
| Stock Option (Right to Buy)F3 | $7.25 | Mar 14, 2018 | M | 3,380 | D | — | Mar 13, 2024 | Common Stock | 3,380 | 10,046 | D |
Explanation of responses
- F1Represents an exercise of stock options in connection with the Reporting Person's sale of shares of common stock received upon exercise in a secondary offering that is scheduled to be completed on March 19, 2018.
- F2Represents the withholding of shares to pay the exercise price and related taxes in connection with the stock option exercise.
- F3These stock options are fully vested.