0000904454-24-000213.txt : 20240312 0000904454-24-000213.hdr.sgml : 20240312 20240312171118 ACCESSION NUMBER: 0000904454-24-000213 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240308 FILED AS OF DATE: 20240312 DATE AS OF CHANGE: 20240312 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLAND CHARLES R CENTRAL INDEX KEY: 0001248221 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35451 FILM NUMBER: 24743288 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MACOM Technology Solutions Holdings, Inc. CENTRAL INDEX KEY: 0001493594 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 270306875 STATE OF INCORPORATION: DE FISCAL YEAR END: 0929 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 X0508 4 2024-03-08 0 0001493594 MACOM Technology Solutions Holdings, Inc. MTSI 0001248221 BLAND CHARLES R 100 CHELMSFORD STREET LOWELL MA 01851 1 0 0 0 0 Common Stock 2024-03-08 4 A 0 2138 0 A 28939 D Represents restricted stock awards granted to the Reporting Person under the Issuer's 2021 Omnibus Incentive Plan. Each restricted stock award represents the contingent right to receive one share of Common Stock. The restricted stock awards vest in full on March 8, 2025, provided that the Reporting Person remains in continuous service with the Issuer through the vesting date. /s/ Ambra R. Roth, Attorney-in-Fact 2024-03-12