SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Avent Pamela K.

(Last) (First) (Middle)
1445 S. SPECTRUM BLVD.
SUITE 102

(Street)
CHANDLER AZ 85286

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/01/2023
3. Issuer Name and Ticker or Trading Symbol
VIAVI SOLUTIONS INC. [ VIAV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Interim CFO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 87,246 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Unit (1) (2) Common Stock 3,187 $0 D
Restricted Stock Unit (3) (2) Common Stock 4,350 $0 D
Restricted Stock Unit (4) (2) Common Stock 9,324 $0 D
Restricted Stock Unit (5) (2) Common Stock 15,454 $0 D
Explanation of Responses:
1. Units subject to the Award Shall vest annually in three equal installments over three years. The remaining 3,187 restricted stock units will vest on November 28, 2023.
2. There are no expiration dates on RSUs
3. Units Subject to the Award shall vest annually in three equal installments over three years. The remaining 4,350 restricted stock units will vest on August 28, 2024.
4. Units subject to the Award shall vest annually in three equal installments over three years. The remaining 9,324 shall vest equally over the next two years on August 28, 2024 and August 28, 2025.
5. Units subject to the Award shall vest annually in thee equal installments over three years. The restricted stock units were granted on August 28, 2023 and will vest equally on August 28, 2024, August 28, 2025 and August 28, 2026.
/s/ Donna T. Rossi, attorney-in-fact 10/03/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.