Filing Details
- Accession Number:
- 0001804913-23-000002
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2023-01-06 16:30:43
- Reporting Period:
- 2023-01-04
- Accepted Time:
- 2023-01-06 16:30:43
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1710155 | National Vision Holdings Inc. | EYE | Ophthalmic Goods (3851) | 464841717 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1804913 | Ravi Acharya | C/O National Vision Holdings, Inc. 2435 Commerce Avenue, Bldg. 2200 Duluth GA 30096 | Svp, Chief Technology 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 | Disposition | 2023-01-04 | 832 | $40.00 | 832 | No | 4 | S | Direct | |
| Common Stock | Acquisiton | 2023-01-04 | 3,613 | $23.25 | 4,445 | No | 4 | M | Direct | |
| Common Stock | Disposition | 2023-01-04 | 3,051 | $40.00 | 1,394 | No | 4 | F | Direct | |
| Common Stock | Disposition | 2023-01-04 | 562 | $40.00 | 832 | No | 4 | S | Direct | |
| Common Stock | Acquisiton | 2023-01-05 | 562 | $23.25 | 1,394 | No | 4 | M | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | S | Direct | |
| No | 4 | M | Direct | |
| No | 4 | F | Direct | |
| No | 4 | S | Direct | |
| No | 4 | M | 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 | 2023-01-04 | 3,613 | $0.00 | 3,613 | $23.25 |
| Common Stock | Stock Option (Right to Buy) | Disposition | 2023-01-05 | 562 | $0.00 | 562 | $23.25 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 2,650 | 2030-03-16 | No | 4 | M | Direct | |
| 2,088 | 2030-03-16 | No | 4 | M | Direct |
Footnotes
- All the transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan established by the reporting person on December 2, 2022.
- Represents shares sold to cover the exercise price and tax for 4,175 options exercised via a cashless hold. Of that total exercise, 3,613 options were exercised on January 4, 2023 and the remaining 562 options were exercised on January 5, 2023 and are reflected on this form.
- The 3,613 stock options are all fully vested from a grant of 6,263 time based stock options, which vest in three equal installments on March 16, 2021, March 16, 2022 and on March 16, 2023.
- The 562 stock options are all fully vested from a grant of 6,263 time based stock options, which vest in three equal installments on March 16, 2021, March 16, 2022 and on March 16, 2023.
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