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