0001288469-21-000235.txt : 20210927
0001288469-21-000235.hdr.sgml : 20210927
20210927194942
ACCESSION NUMBER: 0001288469-21-000235
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210927
FILED AS OF DATE: 20210927
DATE AS OF CHANGE: 20210927
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SEENDRIPU KISHORE
CENTRAL INDEX KEY: 0001478340
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34666
FILM NUMBER: 211283198
MAIL ADDRESS:
STREET 1: 5966 LA PLACE COURT
STREET 2: SUITE 100
CITY: CARLSBAD
STATE: CA
ZIP: 92011
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MAXLINEAR INC
CENTRAL INDEX KEY: 0001288469
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 141896129
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5966 LA PLACE CT.
CITY: CARLSBAD
STATE: CA
ZIP: 92008
BUSINESS PHONE: 760-692-0711
MAIL ADDRESS:
STREET 1: 5966 LA PLACE CT.
CITY: CARLSBAD
STATE: CA
ZIP: 92008
4
1
wf-form4_163278656659719.xml
FORM 4
X0306
4
2021-09-27
0
0001288469
MAXLINEAR INC
MXL
0001478340
SEENDRIPU KISHORE
C/O MAXLINEAR, INC.
5966 LA PLACE COURT, SUITE 100
CARLSBAD
CA
92008
1
1
1
0
Chairman, President and CEO
Common Stock
2021-09-27
5
G
0
E
5000
0
D
225364
D
Common Stock
350092
I
See footnote
Common Stock
410731
I
See footnote
Common Stock
410731
I
See footnote
Common Stock
344997
I
See footnote
Common Stock
344997
I
See footnote
Common Stock
394891
I
See footnote
Common Stock
394891
I
See footnoe
Common Stock
396526
I
See footnote
Common Stock
396526
I
See footnote
Common Stock
18920
I
See footnote
Shares held by the Seendripu Family Trust dated 10/5/09, a trust for the benefit of the Reporting Person and the Reporting Person's spouse, for which the Reporting Person and the Reporting Person's spouse serve as trustees.
Shares held by the Kishore V. Seendripu 2019 Annuity Trust dated May 6, 2019, a grantor retained annuity trust, for which the Reporting Person serves as trustee.
Shares held by the Rekha S. Seendripu 2019 Annuity Trust dated May 6, 2019, a grantor retained annuity trust, for which the Reporting Person serves as trustee.
Shares held by the Kishore V. Seendripu 2019-2 Annuity Trust dated November 9, 2019, a grantor retained annuity trust, for which the Reporting Person serves as trustee.
Shares held by the Rekha S. Seendripu 2019-2 Annuity Trust dated November 9, 2019, a grantor retained annuity trust, for which the Reporting Person serves as trustee.
Shares held by the Kishore V. Seendripu 2020 Annuity Trust A dated June 1, 2020, a grantor retained annuity trust, for which the Reporting Person serves as trustee.
Shares held by the Rekha S. Seendripu 2020 Annuity Trust A dated June 1, 2020, a grantor retained annuity trust, for which the Reporting Person serves as trustee.
Shares held by the IKS Heritage Trust dated July 13, 2020, a trust for the benefit of the Reporting Person's child, and for which the Reporting Person serves as co-trustee.
Shares held by the SS Heritage Trust dated July 13, 2020, a trust for the benefit of the Reporting Person's child, and for which the Reporting Person serves as co-trustee.
Shares held by the Seendripu Relatives Trust dated 10/5/09, a trust for the benefit of the Reporting Person's parents and siblings, and for which the Reporting Person serves as trustee.
/s/ Connie Kwong, as Attorney-in-Fact
2021-09-27