0000904454-21-000269.txt : 20210301
0000904454-21-000269.hdr.sgml : 20210301
20210301164035
ACCESSION NUMBER: 0000904454-21-000269
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210226
FILED AS OF DATE: 20210301
DATE AS OF CHANGE: 20210301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: OCAMPO JOHN L
CENTRAL INDEX KEY: 0001248224
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35451
FILM NUMBER: 21698562
MAIL ADDRESS:
STREET 1: 100 CHELMSFORD STREET
CITY: LOWELL
STATE: MA
ZIP: 01851
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: OCAMPO SUSAN
CENTRAL INDEX KEY: 0001252243
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35451
FILM NUMBER: 21698561
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: 1001
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
2021-02-26
0001493594
MACOM Technology Solutions Holdings, Inc.
MTSI
0001248224
OCAMPO JOHN L
C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS
100 CHELMSFORD STREET
LOWELL
MA
01851
1
1
1
0
Chairman
0001252243
OCAMPO SUSAN
C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS
100 CHELMSFORD STREET
LOWELL
MA
01851
1
0
1
0
Common Stock
2021-02-26
5
G
0
1000000
0
D
8533142
I
By Ocampo Family Trust-2001
Common Stock
2021-02-26
5
G
0
500000
0
A
500000
I
By John Ocampo 2021 Charitable Remainder Trust
Common Stock
2021-02-26
5
G
0
500000
0
A
500000
I
By Susan Ocampo 2021 Charitable Remainder Trust
Common Stock
3047742
I
By trust for son
Common Stock
3220242
I
By trust for daughter
Common Stock
3220242
I
By trust for son
The Reporting Persons are trustees of the Ocampo Family Trust - 2001, the John Ocampo 2021 Charitable Remainder Trust, the Susan Ocampo 2021 Charitable Remainder Trust, and the trusts for the benefit of their children.
/s/ Ambra R. Roth, Attorney-in-Fact for John Ocampo and Susan Ocampo
2021-03-01