Priti Patel V - 03 Oct 2025 Form 4 Insider Report for National Vision Holdings, Inc. (EYE)

Role
General Manager
Signature
/s/ Jared Brandman as Attorney-in-Fact
Issuer symbol
EYE
Transactions as of
03 Oct 2025
Net transactions value
-$15,532
Form type
4
Filing time
06 Oct 2025, 16:44:22 UTC
Previous filing
10 Mar 2025
Next filing
02 Mar 2026
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Patel Priti V General Manager 2435 COMMERCE AVENUE, BLDG 2200, DULUTH /s/ Jared Brandman as Attorney-in-Fact 06 Oct 2025 0002055495

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EYE Common Stock Options Exercise +1,502 +12% 14,407 03 Oct 2025 Direct F1
transaction EYE Common Stock Tax liability $15,532 -538 -3.7% $28.87 13,869 03 Oct 2025 Direct F2

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 -1,502 -4.2% $0.000000 34,388 03 Oct 2025 Common Stock 1,502 Direct F1, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Restricted stock units convert into common stock on a one-for-one basis.
F2 Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
F3 On October 3, 2022, the reporting person was granted 4,506 restricted stock units, vesting on three equal installments beginning on the first anniversary of the grant date.