Melissa Rasmussen - 18 Nov 2021 Form 4 Insider Report for National Vision Holdings, Inc. (EYE)

Role: SVP, Chief Accounting Officer
Signature: /s/ Jared Brandman, as Attorney-in-Fact
Issuer symbol: EYE
Transactions as of: 18 Nov 2021
Net transactions value: $0
Form type: 4
Filing time: 22 Nov 2021, 15:38:26 UTC
Previous filing: 19 May 2021
Next filing: 28 Feb 2022
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	EYE	Common Stock	Options Exercise	$0	+5,488	+1533%	$0.000000	5,846	18 Nov 2021	Direct	F1, F2
transaction	EYE	Common Stock	Tax liability		-1,652	-28%		4,194	18 Nov 2021	Direct	F3

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	EYE	Restricted Stock Units	Options Exercise	$0	-5,488	-43%	$0.000000	7,214	18 Nov 2021	Common Stock	5,488		Direct	F1, F4

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Each restricted stock unit represents a contingent right to receive one share of NVHI common stock.
F2	These shares include 158 shares that were acquired pursuant to the employee stock purchase plan, which acquisitions are exempt from Section 16.
F3	On November 18, 2021, 5,488 restricted stock units vested and 1,652 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.
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 sharesvesting on the third anniversary of the grant date and 2,745 shares vesting on the fourth anniversary of the grant date.