0000904454-24-000621.txt : 20241120 0000904454-24-000621.hdr.sgml : 20241120 20241120172742 ACCESSION NUMBER: 0000904454-24-000621 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20241118 FILED AS OF DATE: 20241120 DATE AS OF CHANGE: 20241120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OCAMPO SUSAN CENTRAL INDEX KEY: 0001252243 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35451 FILM NUMBER: 241481453 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: 0927 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 ownership.xml X0508 4 2024-11-18 0 0001493594 MACOM Technology Solutions Holdings, Inc. MTSI 0001252243 OCAMPO SUSAN C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS 100 CHELMSFORD STREET LOWELL MA 01851 1 0 1 0 0 Common Stock 2024-11-18 4 S 0 1789 125.00 D 5912219 I By trusts for children Common Stock 2024-11-19 4 S 0 356700 118.30 D 5555519 I By trusts for children Common Stock 2024-11-19 4 S 0 243300 118.30 D 6553385 I By Ocampo Family Trust Common Stock 2138 D 1,722,409 of such shares are held by two trusts for the Reporting Person's son; 2,094,905 of such shares are held by two trusts for the Reporting Person's daughter; and 2,094,905 of such shares are held by two trusts for the Reporting Person's son. The Reporting Person is a trustee of the Ocampo Family Trust and each of the following six trusts for the benefit of her children: (i) two trusts for her son; (ii) two trusts for her daughter; and (iii) two trusts for her son. 1,603,509 of such shares are held by two trusts for the Reporting Person's son; 1,976,005 of such shares are held by two trusts for the Reporting Person's daughter; and 1,976,005 of such shares are held by two trusts for the Reporting Person's son. /s/ Ambra R. Roth, Attorney-in-Fact 2024-11-20