0000904454-25-000342.txt : 20250626 0000904454-25-000342.hdr.sgml : 20250626 20250626163026 ACCESSION NUMBER: 0000904454-25-000342 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20250624 FILED AS OF DATE: 20250626 DATE AS OF CHANGE: 20250626 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: 251080827 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 EIN: 270306875 STATE OF INCORPORATION: DE FISCAL YEAR END: 1003 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 2025-06-24 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 2025-06-24 4 G 0 200000 0 D 4615331 I By Ocampo Family Trust Common Stock 4118621 I By trusts for children Common Stock 1500000 I By GRAT Common Stock 1623 D Represents a bona fide gift of shares to a charitable donor-advised fund in which the Reporting Person has no pecuniary interest. The Reporting Person is a trustee of the Ocampo Family Trust, the GRAT 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. 1,124,543 of such shares are held by two trusts for the Reporting Person's son; 1,497,039 of such shares are held by two trusts for the Reporting Person's daughter; and 1,497,039 of such shares are held by two trusts for the Reporting Person's son. /s/ Ambra R. Roth, Attorney-in-Fact 2025-06-26