0000904454-21-000794.txt : 20211119 0000904454-21-000794.hdr.sgml : 20211119 20211119163508 ACCESSION NUMBER: 0000904454-21-000794 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211117 FILED AS OF DATE: 20211119 DATE AS OF CHANGE: 20211119 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: 211428810 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: 1001 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 2021-11-17 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 2021-11-17 4 S 0 4000 76.96 D 35273 D Common Stock 2021-11-17 4 S 0 2000 76.93 D 33273 D Common Stock 2021-11-17 4 S 0 2000 76.96 D 31273 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. The price reported in Column 4 is a weighted average price. 2,959 of the shares were sold in multiple transactions at prices ranging from $76.20 to $77.18 and 1,041 of the shares were sold in multiple transactions at prices ranging from $77.23 to $77.73. The Reporting Person undertakes to provide to the Issuer, any shareholder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The reported ownership reflects the correction of an over-reporting of 3,954 shares of Common Stock on the Reporting Person's Form 3 filed on October 31, 2019. The price reported in Column 4 is a weighted average price. 1,530 of the shares were sold in multiple transactions at prices ranging from $76.26 to $77.25 and 470 of the shares were sold in multiple transactions at prices ranging from $77.38 to $77.70. The Reporting Person undertakes to provide to the Issuer, any shareholder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The price reported in Column 4 is a weighted average price. 1,530 of the shares were sold in multiple transactions at prices ranging from $76.26 to $77.25 and 470 of the shares were sold in multiple transactions at prices ranging from $77.38 to $77.70. The Reporting Person undertakes to provide to the Issuer, any shareholder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. /s/ Ambra R. Roth 2021-11-19