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