SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
OCAMPO JOHN L

(Last) (First) (Middle)
100 CHELMSFORD STREET

(Street)
LOWELL MA 01851

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/14/2012
3. Issuer Name and Ticker or Trading Symbol
M/A-COM Technology Solutions Holdings, Inc. [ MTSI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 45,500 I By Ocampo Family Trust - 2001(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A-1 Convertible Preferred Stock (2) (2) Common Stock 51,920,000 $0 I By Ocampo Family Trust - 2001(1)
Series A-1 Convertible Preferred Stock (2) (2) Common Stock 14,160,000 $0 I By 2007 Trust Agreement for Bobby J. Ocampo(1)
Series A-1 Convertible Preferred Stock (2) (2) Common Stock 14,160,000 $0 I By 2007 Trust Agreement for Ashley T. Ocampo(1)
Series A-1 Convertible Preferred Stock (2) (2) Common Stock 14,160,000 $0 I By 2007 Trust Agreement for Joshua F. Ocampo(1)
Series A-2 Convertible Preferred Stock (2) (2) Common Stock 10,393,823 $0 I By GaAs Labs, LLC(1)
1. Name and Address of Reporting Person*
OCAMPO JOHN L

(Last) (First) (Middle)
100 CHELMSFORD STREET

(Street)
LOWELL MA 01851

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman
1. Name and Address of Reporting Person*
OCAMPO SUSAN

(Last) (First) (Middle)
100 CHELMSFORD STREET

(Street)
LOWELL MA 01851

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. John and Susan Ocampo are co-trustees of each of the Ocampo Family Trust - 2001, 2007 Trust Agreement for Bobby J. Ocampo, 2007 Trust Agreement for Ashley T. Ocampo and 2007 Trust Agreement for Joshua F. Ocampo (collectively, the "Ocampo Family Trusts"). The Ocampo Family Trusts are the members and John Ocampo is the manager of GaAs Labs, LLC.
2. The Series A-1 and A-2 Convertible Preferred Stock have no expiration date and are convertible into the issuer's common stock on a one-for-four basis immediately prior to the closing of the issuer's initial public offering.
/s/ Clay Simpon, Attorney-in-Fact 03/14/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.