0000904454-20-000713.txt : 20201106
0000904454-20-000713.hdr.sgml : 20201106
20201106191203
ACCESSION NUMBER: 0000904454-20-000713
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201104
FILED AS OF DATE: 20201106
DATE AS OF CHANGE: 20201106
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roth Ambra R.
CENTRAL INDEX KEY: 0001792846
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35451
FILM NUMBER: 201295713
MAIL ADDRESS:
STREET 1: C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS
STREET 2: 100 CHELMSFORD STREET
CITY: LOWELL
STATE: MA
ZIP: 01851
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: 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
edgar.xml
PRIMARY DOCUMENT
X0306
4
2020-11-04
0001493594
MACOM Technology Solutions Holdings, Inc.
MTSI
0001792846
Roth Ambra R.
C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS
100 CHELMSFORD STREET
LOWELL
MA
01851
0
1
0
0
SVP, GC, HR & Secretary
Common Stock
2020-11-04
4
S
0
712
40
D
37972
D
Common Stock
2020-11-05
4
A
0
5055
0
A
43027
D
Common Stock
2020-11-05
4
A
0
11215
0
A
54242
D
Common Stock
2020-11-05
4
F
0
6294
41.43
D
47948
D
Common Stock
2020-11-06
4
S
0
231
42
D
47717
D
The shares were sold pursuant to a sales plan adopted by the Reporting Person and intended to comply with Rule 10b5-1 under the Securities Exchange Act of 1934.
Represents performance-based restricted stock units ("PRSUs") granted to the Reporting Person on November 19, 2018 under the Issuer's 2012 Omnibus Incentive Plan, which vested and settled in shares of Common Stock on November 5, 2020.
Represents PRSUs granted to the Reporting Person on October 29, 2019 under the Issuer's 2012 Omnibus Incentive Plan, which vested and settled in shares of Common Stock on November 5, 2020.
Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting and settling of PRSUs on November 5, 2020.
/s/ Ambra R. Roth
2020-11-06