0001633978-21-000090.txt : 20211122
0001633978-21-000090.hdr.sgml : 20211122
20211122171927
ACCESSION NUMBER: 0001633978-21-000090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211119
FILED AS OF DATE: 20211122
DATE AS OF CHANGE: 20211122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lillie Brian
CENTRAL INDEX KEY: 0001648231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36861
FILM NUMBER: 211433649
MAIL ADDRESS:
STREET 1: 1485 BROOKMILL ROAD
CITY: LOS ALTOS
STATE: CA
ZIP: 94024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Lumentum Holdings Inc.
CENTRAL INDEX KEY: 0001633978
STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669]
IRS NUMBER: 473108385
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0702
BUSINESS ADDRESS:
STREET 1: 1001 RIDDER PARK DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95131
BUSINESS PHONE: 408-546-5483
MAIL ADDRESS:
STREET 1: 1001 RIDDER PARK DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95131
4
1
wf-form4_163761954458838.xml
FORM 4
X0306
4
2021-11-19
0
0001633978
Lumentum Holdings Inc.
LITE
0001648231
Lillie Brian
C/O LUMENTUM HOLDINGS INC.
1001 RIDDER PARK DRIVE
SAN JOSE
CA
95131
1
0
0
0
Common Stock
2021-11-19
4
A
0
2618
0
A
14837
D
Each share is represented by a restricted stock unit (RSU). Each RSU represents the contingent right to receive, following vesting, one share of Common Stock of the Issuer. 100% of the RSUs shall vest on the earlier of November 19, 2022 or the day prior to the the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing through such date as a Service Provider, as defined under the Issuer's 2015 Equity Incentive Plan.
/s/ Judy G Hamel as Attorney-in-Fact
2021-11-19