0000904454-22-000323.txt : 20220517 0000904454-22-000323.hdr.sgml : 20220517 20220517201507 ACCESSION NUMBER: 0000904454-22-000323 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220513 FILED AS OF DATE: 20220517 DATE AS OF CHANGE: 20220517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLSON DOUGLAS J CENTRAL INDEX KEY: 0001719731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35451 FILM NUMBER: 22936679 MAIL ADDRESS: STREET 1: MACOM TECHNOLOGY SOLUTIONS HOLDINGS INC. STREET 2: 100 CHELMSFORD ST. CITY: LOWELL STATE: MA ZIP: 01851 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MACOM Technology Solutions Holdings, Inc. CENTRAL INDEX KEY: 0001493594 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 270306875 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 100 CHELMSFORD STREET CITY: LOWELL STATE: MA ZIP: 01851 BUSINESS PHONE: (978) 656-2500 MAIL ADDRESS: STREET 1: 100 CHELMSFORD STREET CITY: LOWELL STATE: MA ZIP: 01851 FORMER COMPANY: FORMER CONFORMED NAME: M/A-COM Technology Solutions Holdings, Inc. DATE OF NAME CHANGE: 20100607 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2022-05-13 0 0001493594 MACOM Technology Solutions Holdings, Inc. MTSI 0001719731 CARLSON DOUGLAS J C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS 100 CHELMSFORD STREET LOWELL MA 01851 0 1 0 0 SVP, Technology Common Stock 2022-05-13 4 F 0 1038 52.53 D 23040 D Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of restricted stock units on May 15, 2022. The reported ownership includes 334 shares acquired under the Issuer's Employee Stock Purchase Plan on May 13, 2022. /s/ Ambra R. Roth, Attorney-in-Fact 2022-05-17