Form 4 for EYE National Vision Holdings, Inc.

Accepted 2021-11-22 00:00:00 ET · period of report 2021-11-18 · accession 0001767639-21-000010 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
D	2021-11-22	2021-11-18	EYE	Brandman Jared	SVP, GC, Sec	M - OptEx	$0.00	+5,488	12.6K	+77%	$0
D	2021-11-22	2021-11-18	EYE	Brandman Jared	SVP, GC, Sec	F - Tax	—	-2,476	10.1K	-20%	—
D	2021-11-22	2021-11-18	EYE	Brandman Jared	SVP, GC, Sec	M - OptEx	$0.00	-5,488	8,603	-39%	$0

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Stock	2021-11-18	M	A	5,488	$0.00	12,594	D	—	—	(F1) Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. (F2) These shares include 2,220 shares that were acquired pursuant to the employee stock purchase plan, which acquisitions are exempt from Section 16.
2	Common	Common Stock	2021-11-18	F	D	2,476	—	10,118	D	—	—	(F3) On November 18, 2021, 5,488 restricted stock units vested and 2,476 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on November 18, 2021 of the Company's common stock on NASDAQ was $48.330 per share.
3	Derivative	Restricted Stock Units	2021-11-18	M	D	5,488	$0.00	8,603	D	— · — to —	5,488 Common Stock	(F1) Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. (F4) On November 18, 2019, the reporting person was granted 5,488 restricted stock units, which will vest in three installments, with 5,488 shares vesting on the second anniversary of the grant date, 2,744 shares vesting on the third anniversary of the grant date and 2,745 shares vesting on the fourth anniversary of the grant date.