Filing Details

Accession Number:
0001261163-19-000006
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-06-03 16:17:50
Reporting Period:
2019-05-30
Accepted Time:
2019-06-03 16:17:50
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1710155 National Vision Holdings Inc. EYE () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1261163 Jeff Busbee C/O National Vision Holdings, Inc.,
2435 Commerce Avenue, Bldg. 2200
Duluth GA 30096-4980
Svp, Chief Hr Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2019-05-30 13,508 $4.27 75,601 No 4 M Direct
Common Stock Disposition 2019-05-30 13,508 $28.05 62,093 No 4 S Direct
Common Stock Acquisiton 2019-05-31 19,405 $4.27 81,498 No 4 M Direct
Common Stock Disposition 2019-05-31 19,405 $27.22 62,093 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (Right to Buy) Disposition 2019-05-30 13,508 $4.27 13,508 $4.27
Common Stock Stock Option (Right to Buy) Disposition 2019-05-31 19,405 $4.27 19,405 $4.27
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
36,578 2024-03-13 No 4 M Direct
17,173 2024-03-13 No 4 M Direct
Footnotes
  1. Price represents the weighted average sales price. The shares were sold pursuant to a single order in multiple transactions as prices ranging from $28.00 to $28.17. Upon request by the SEC staff, the issuer or a security holder of the issuer, the reporting person will provide full information regarding the number of shares sold at each separate price.
  2. Price represents the weighted average sales price. The shares were sold pursuant to a single order in multiple transactions as prices ranging from $26.965 to $27.33. Upon request by the SEC staff, the issuer or a security holder of the issuer, the reporting person will provide full information regarding the number of shares sold at each separate price.
  3. Of these 36,578 stock options, all are vested. An additional 61,792 stock options which remain subject to liquidity-event performance-based vesting conditions are not included in the table above.
  4. Of these 17,173 stock options, all are vested. An additional 61,792 stock options which remain subject to liquidity-event performance-based vesting conditions are not included in the table above.