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Acharya Ravi – ‘4’ for 3/5/24 re: National Vision Holdings, Inc.

On:  Thursday, 3/7/24, at 4:19pm ET   ·   For:  3/5/24   ·   As:  Officer   ·   Accession #:  1804913-24-4   ·   File #:  1-38257

Previous ‘4’:  ‘4’ on 3/5/24 for 3/1/24   ·   Latest ‘4’:  This Filing

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer

 3/07/24  Acharya Ravi                      4          Officer     1:9K   National Vision Holdings, Inc.

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Statement of Changes in Beneficial Ownership of     HTML      9K 
                Securities by an Insider --                                      
                wk-form4_1709846333.xml/5.8


        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
SEC Info℠ rendering:  Statement of Changes in Beneficial Ownership of Securities by an Insider — wk-form4_1709846333.xml/5.8
 

The SEC has not released XSLT Stylesheets needed to render this File’s XML Data as a Form.

This is our “Plain Text” rendering:
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0508
Document Type:  4
Period of Report:  3/5/24
Not Subject to Section 16:  0
Issuer:
Issuer CIK:  1710155
Issuer Name:  National Vision Holdings, Inc.
Issuer Trading Symbol:  EYE
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1804913
Owner Name:  Acharya Ravi
Reporting Owner Address:
Owner Street 1:  C/O NATIONAL VISION HOLDINGS, INC.
Owner Street 2:  2435 COMMERCE AVENUE, BLDG. 2200
Owner City:  DULUTH
Owner State:  GA
Owner ZIP Code:  30096
Owner State Description:
Reporting Owner Relationship:
Is Director?  No
Is Officer?  Yes
Is Ten Percent Owner?  No
Is Other?  No
Officer Title:  SVP, Chief Technology Officer
Aff 10b5 One:  0
Non-Derivative Table:
Non-Derivative Transaction:
Security Title:
Value:  Common Stock
Transaction Date:
Value:  3/5/24
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  M
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  639
Transaction Price Per Share:
Footnote ID:  F1
Transaction Acquired-Disposed Code:
Value:  A
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  14,198
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Common Stock
Transaction Date:
Value:  3/5/24
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  F
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  191
Footnote ID:  F2
Transaction Price Per Share:
Value:  22.62
Transaction Acquired-Disposed Code:
Value:  D
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  14,007
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Common Stock
Transaction Date:
Value:  3/5/24
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  M
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  2,556
Footnote ID:  F3
Transaction Price Per Share:
Value:  0
Transaction Acquired-Disposed Code:
Value:  A
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  16,563
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Transaction:
Security Title:
Value:  Common Stock
Transaction Date:
Value:  3/5/24
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  F
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  763
Footnote ID:  F4
Transaction Price Per Share:
Value:  22.62
Transaction Acquired-Disposed Code:
Value:  D
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  15,800
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Table:
Derivative Transaction:
Security Title:
Value:  Restricted Stock Units
Conversion or Exercise Price:
Footnote ID:  F1
Transaction Date:
Value:  3/5/24
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  M
Equity Swap Involved?  No
Transaction Amounts:
Transaction Shares:
Value:  639
Transaction Price Per Share:
Value:  0
Transaction Acquired-Disposed Code:
Value:  D
Exercise Date:
Footnote ID:  F5
Expiration Date:
Footnote ID:  F5
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  639
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  8,012
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Footnotes:
Footnote - F1:  Restricted stock units convert into common stock on a one-for-one basis.
Footnote - F2:  Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
Footnote - F3:  Reflects the issuance of shares upon vesting of performance stock units granted to the reporting person on March 5, 2021.
Footnote - F4:  Reflects payment of tax liability by withholding securities incident to vesting of performance stock units.
Footnote - F5:  On March 5, 2021, the reporting person was granted 1,917 restricted stock units, which vest in three equal installments on each anniversary of the grant date.
Remarks:
Owner Signature:
Signature Name:  /s/ Jared Brandman, Attorney-in-Fact
Signature Date:  3/7/24


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