0000904454-23-000461.txt : 20230804 0000904454-23-000461.hdr.sgml : 20230804 20230804163651 ACCESSION NUMBER: 0000904454-23-000461 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230802 FILED AS OF DATE: 20230804 DATE AS OF CHANGE: 20230804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Struble Wayne Mack CENTRAL INDEX KEY: 0001987730 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35451 FILM NUMBER: 231144538 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: 0929 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 3 1 ownership.xml X0206 3 2023-08-02 0 0001493594 MACOM Technology Solutions Holdings, Inc. MTSI 0001987730 Struble Wayne Mack C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS 100 CHELMSFORD STREET LOWELL MA 01851 0 1 0 0 SVP, Advanced Semiconductor Common Stock 8829 D Includes (i) 1,674 restricted stock units ("RSUs") granted on October 27, 2020, which vest as follows: 836 shares on October 27, 2023 and 838 shares on October 27, 2024; (ii) 2,046 RSUs granted on October 27, 2021, which vest as follows: 1,022 shares on October 27, 2023 and 1,024 shares on October 27, 2024; and (iii) 2,788 RSUs granted on October 27, 2022, which vest as follows: 929 shares on October 27, 2023, 929 shares on October 27, 2024, and 930 shares on October 27, 2025, provided with respect to each vesting event described herein that the Reporting Person remains in continuous service with the Issuer through such vesting date. All RSUs were granted to the Reporting Person under the Issuer's 2012 or 2021 Omnibus Incentive Plan and each RSU represents the contingent right to receive one share of Common Stock. Exhibit List: Exhibit 24 - Power of Attorney /s/ Ambra R. Roth, Attorney-in-Fact 2023-08-04 EX-24 2 poa_struble-080223.htm EXHIBIT 24 TO FORM 3 POWER OF ATTORNEY

EXHIBIT 24 TO FORM 3
POWER OF ATTORNEY

I, Wayne Mack Struble, hereby authorize and designate each of Ambra R. Roth and John Donnelly, Jr., signing singly, as my true and lawful attorney-in-fact to:

(1)     execute for and on my behalf, in my capacity as an officer and/or director of MACOM Technology Solutions Holdings, Inc. and its affiliates (the "Company"), the Form ID and Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act") and the rules and regulations promulgated thereunder;

(2)     do and perform any and all acts for and on my behalf which may be necessary or desirable to complete and execute any such Form ID or Form 3, 4 or 5, complete and execute any amendment or amendments thereto, and timely file such form with the Securities and Exchange Commission, any stock exchange or similar authority; and

(3)     take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be to my benefit, in my best interest, or legally required of me, it being understood that the documents executed by such attorney-in-fact on my behalf pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

I hereby further grant to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as I might or could do if personally present, with full power of substitutes or revocation, hereby ratifying and confirming all that such attorney-in fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. I hereby acknowledge that the foregoing attorneys-in-fact, in serving in such capacity at my request, are not assuming, nor is the Company assuming, any of my responsibilities to comply with Section 16 of the Exchange Act.

This Power of Attorney shall remain in full force and effect until I am no longer required to file the Form ID or Forms 3, 4 and 5 with respect to my holdings of and transactions in securities issued by the Company, unless earlier revoked by me in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, I have caused this Power of Attorney to be duly executed as of this 4th day of August, 2023.

/s/ Wayne Mack Struble

Name: Wayne Mack Struble