UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
NATIONAL VISION, INC.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
| 63845P101 (CUSIP Number) |
July 13, 2004
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
¨ Rule 13d-1(b)
x Rule 13d-1(c)
¨ Rule 13d-1(d)
| * | The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 63845P101
| 1. | NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Charles M. Gillman |
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| 2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [_] (b) [ ] |
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| 3. | SEC USE ONLY
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| 4. | CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. SOLE VOTING POWER
338,700 6. SHARED VOTING POWER
0 7. SOLE DISPOSITIVE POWER
338,700 8. SHARED DISPOSITIVE POWER
0 |
| 9. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
338,700 |
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| 10. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[_] |
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| 11. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.5% |
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| 12. | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN |
CUSIP No. 63845P101
| 1. | NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Boston Avenue Capital, LLC |
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| 2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [_] (b) [ ] |
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| 3. | SEC USE ONLY
|
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| 4. | CITIZENSHIP OR PLACE OF ORGANIZATION
State of Oklahoma |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. SOLE VOTING POWER
338,700 6. SHARED VOTING POWER
0 7. SOLE DISPOSITIVE POWER
338,700 8. SHARED DISPOSITIVE POWER
0 |
| 9. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
338,700 |
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| 10. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[_] |
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| 11. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.5% |
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| 12. | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
OO |
CUSIP No. 63845P101
| 1. | NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Boulder Capital, LLC |
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| 2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [_] (b) [ ] |
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| 3. | SEC USE ONLY
|
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| 4. | CITIZENSHIP OR PLACE OF ORGANIZATION
State of Oklahoma |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5. SOLE VOTING POWER
338,700 6. SHARED VOTING POWER
0 7. SOLE DISPOSITIVE POWER
338,700 8. SHARED DISPOSITIVE POWER
0 |
| 9. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
338,700 |
|||
| 10. | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[_] |
|||
| 11. | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.5% |
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| 12. | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
OO |
CUSIP No. 63845P101
| Item 1 |
(a). |
Name of Issuer: | ||||||||||
| National Vision, Inc. | ||||||||||||
| (b). |
Address of Issuer’s Principal Executive Offices: | |||||||||||
| 296 Grayson Highway Lawrenceville, GA 30045 |
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| Item 2 |
(a). |
Name of Person Filing: | ||||||||||
| Charles M. Gillman Boston Avenue Capital, LLC Boulder Capital, LLC |
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| (b). |
Address of Principal Business Office, or if None, Residence: | |||||||||||
| Charles M. Gillman Boston Avenue Capital, LLC 415 South Boston, 9th Floor Tulsa, Oklahoma 74103 |
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| Boston Avenue Capital, LLC 415 South Boston, 9th Floor Tulsa, Oklahoma 74103 |
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| Boulder Capital, LLC 415 South Boston, 9th Floor Tulsa, Oklahoma 74103 |
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| (c). |
Citizenship: | |||||||||||
| Charles M. Gillman - United States of America Boston Avenue Capital, LLC - State of Oklahoma Boulder Capital, LLC - State of Oklahoma |
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| (d). |
Title of Class of Securities: | |||||||||||
| Common Stock | ||||||||||||
| (e). |
CUSIP Number: | |||||||||||
| CUSIP No. 63845P101 | ||||||||||||
| Item 3. |
If This Statement is filed pursuant to ss.240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: | |||||||||||
| (a) | [_] | Broker or dealer registered under Section 15 of the Exchange Act 15 U.S.C. 78c). | ||||||||||
| (b) | [_] | Bank as defined in Section 3(a)(6) of the Exchange Act (15 U.S.C. 78c). | ||||||||||
| (c) | [_] | Insurance company as defined in Section 3(a)(19) of the Exchange Act (15 U.S.C. 78c). | ||||||||||
| (d) | [_] | Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). | ||||||||||
| (e) | [_] | An investment adviser in accordance with s.240.13d-1(b)(1)(ii)(E); | ||||||||||
| (f) | [_] | An employee benefit plan or endowment fund in accordance with s.240.13d-1(b)(1)(ii)(F); | ||||||||||
| (g) | [_] | A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); | ||||||||||
| (h) | [_] | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C.1813); | ||||||||||
| (i) | [_] | A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); | ||||||||||
| (j) | [_] | Group, in accordance with s.240.13d-1(b)(1)(ii)(J). | ||||||||||
| Item 4. |
Ownership.
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. |
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| (a) | Amount beneficially owned:
Charles M. Gillman - 338,700 Boston Avenue Capital, LLC -338,700 Boulder Capital, LLC - 338,700 |
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| (b) | Percent of class:
Charles M. Gillman - 6.5% Boston Avenue Capital, LLC - 6.5% Boulder Capital, LLC - 6.5% |
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| (c) | Number of shares as to which the person has:
|
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| (i) | Sole power to vote or to direct the vote
Charles M. Gillman - 338,700 Boston Avenue Capital LLC -338,700 Boulder Capital, LLC - 338,700 |
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| (ii) | Shared power to vote or to direct the vote
0 |
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| (iii) | Sole power to dispose or to direct the disposition of
Charles M. Gillman - 338,700 Boston Avenue Capital, LLC - 338,700 Boulder Capital, LLC - 338,700 |
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| (iv) | Shared power to dispose or to direct the disposition of
0 |
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| The filing of this statement shall not be construed as an admission that any persons or entities filing hereunder are, for purposes of section 13(d) or 13(g) of the Securities and Exchange Act of 1934, as amended, the beneficial owners of any securities covered by this statement. | ||||||||||
| Item 5. |
Ownership of Five Percent or Less of a Class.
Not Applicable |
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| Item 6. |
Ownership of More Than Five Percent on Behalf of Another Person.
Not Applicable |
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| Item 7. |
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.
Not Applicable | |||||||||
| Item 8. |
Identification and Classification of Members of the Group.
Exhibit A - the parties expressly disclaim being members of a group. |
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| Item 9. |
Notice of Dissolution of Group.
Not Applicable
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| Item 10. |
Certification.
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect. |
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SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
| July 21, 2004 (Date) |
| Boston Avenue Capital, LLC |
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/s/ Charles M. Gillman |
| Charles M. Gillman, Manager |
Exhibit A
AGREEMENT
The undersigned agree that this Schedule 13G dated July 21, 2004 relating to the Common Stock of National Vision, Inc. shall be filed on behalf of the undersigned.
| Boston Avenue Capital, LLC | ||
| By: |
/s/ Charles M. Gillman | |
| Charles M. Gillman, | ||
| Managing Member | ||
| Boulder Capital, LLC | ||
| By: |
/s/ Charles M. Gillman | |
| Charles M. Gillman, | ||
| Managing Member | ||
| /s/ Charles M. Gillman | ||
| Charles M. Gillman | ||