0001209191-16-121641.txt : 20160519
0001209191-16-121641.hdr.sgml : 20160519
20160519160941
ACCESSION NUMBER: 0001209191-16-121641
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160517
FILED AS OF DATE: 20160519
DATE AS OF CHANGE: 20160519
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MAXLINEAR INC
CENTRAL INDEX KEY: 0001288469
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 141896129
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5966 LA PLACE CT.
CITY: CARLSBAD
STATE: CA
ZIP: 92008
BUSINESS PHONE: 760-692-0711
MAIL ADDRESS:
STREET 1: 5966 LA PLACE CT.
CITY: CARLSBAD
STATE: CA
ZIP: 92008
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LaChance Michael J.
CENTRAL INDEX KEY: 0001534350
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34666
FILM NUMBER: 161663307
MAIL ADDRESS:
STREET 1: 2051 PALOMAR AIRPORT ROAD
STREET 2: SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92011
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-05-17
0
0001288469
MAXLINEAR INC
MXL
0001534350
LaChance Michael J.
C/O MAXLINEAR, INC.
5966 LA PLACE COURT, SUITE 100
CARLSBAD
CA
92008
0
1
0
0
Vice President, Operations
Class A Common Stock (par value $0.0001)
2016-05-17
4
M
0
15000
5.45
A
71396
D
Class A Common Stock (par value $0.0001)
2016-05-17
4
S
0
30000
19.4544
D
41396
D
Stock Option (Right to Buy)
5.45
2016-05-17
4
M
0
15000
0.00
D
2018-11-04
Class A Common Stock (par value $0.0001)
15000
15000
D
Represents the weighted average share price of an aggregate total of 30,000 shares sold in the price range of $19.43 to $19.52 by the reporting person. The reporting person undertakes to provide upon request by the Commission staff, the issuer or a security holder of the issuer, full information regarding the number of shares sold at each separate price.
Subject to the Reporting Person's continuing to be a service provider (as defined in the 2010 Equity Incentive Plan) through each such date, twenty five percent (25%) of the shares subject to the option shall vest and become exercisable on the one (1) year anniversary of November 4, 2011, and one forty-eighth of the shares subject to the option shall vest each month thereafter, such that the option shall become fully vested and exercisable on the November 4, 2015.
/s/ Adam Spice, as Attorney-in-Fact
2016-05-18