Form 4 for EYE National Vision Holdings, Inc.

Accepted 2022-11-22 00:00:00 ET · period of report 2022-11-18 · accession 0001782487-22-000010 · 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	2022-11-22	2022-11-18	EYE	Rasmussen Melissa	SVP, Fin, Accounting	M - OptEx	$0.00	+2,744	10.1K	+37%	$0
D	2022-11-22	2022-11-18	EYE	Rasmussen Melissa	SVP, Fin, Accounting	F - Tax	—	-826	9,321	-8%	—
D	2022-11-22	2022-11-18	EYE	Rasmussen Melissa	SVP, Fin, Accounting	M - OptEx	$0.00	-2,744	8,362	-25%	$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	2022-11-18	M	A	2,744	$0.00	10,147	D	—	—	(F1) Each restricted stock unit represents a contingent right to receive one share of NVHI common stock. (F2) These shares include 283 shares that were acquired pursuant to the employee stock purchase plan, which acquisitions are exempt from Section 16.
2	Common	Common Stock	2022-11-18	F	D	826	—	9,321	D	—	—	(F3) On November 18, 2022, 2,744 restricted stock units vested and 826 shares of the Company's common stock were withheld to satisfy tax withholding obligations. The closing price on November 18, 2022 of the Company's common stock on NASDAQ was $40.02 per share.
3	Derivative	Restricted Stock Units	2022-11-18	M	D	2,744	$0.00	8,362	D	— · — to —	2,744 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 10,977 restricted stock units, which will vest in three installments, with 5,488 shares vesting on the second anniversary of the grant date, 2,744 sharesvesting on the third anniversary of the grant date and 2,745 shares vesting on the fourth anniversary of the grant date.