0001127602-21-025908.txt : 20210927
0001127602-21-025908.hdr.sgml : 20210927
20210927211321
ACCESSION NUMBER: 0001127602-21-025908
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210923
FILED AS OF DATE: 20210927
DATE AS OF CHANGE: 20210927
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Derksen Henk
CENTRAL INDEX KEY: 0001480409
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22874
FILM NUMBER: 211283331
MAIL ADDRESS:
STREET 1: 1 N. BRENTWOOD BLVD.
STREET 2: SUITE 1500
CITY: SAINT LOUIS
STATE: MO
ZIP: 63105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VIAVI SOLUTIONS INC.
CENTRAL INDEX KEY: 0000912093
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 942579683
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0703
BUSINESS ADDRESS:
STREET 1: 6001 AMERICA CENTER DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95002
BUSINESS PHONE: 4084043600
MAIL ADDRESS:
STREET 1: 6001 AMERICA CENTER DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95002
FORMER COMPANY:
FORMER CONFORMED NAME: JDS UNIPHASE CORP /CA/
DATE OF NAME CHANGE: 19990713
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2021-09-23
0000912093
VIAVI SOLUTIONS INC.
VIAV
0001480409
Derksen Henk
C/O VIAVI SOLUTIONS INC.
7047 E GREENWAY PKWY SUITE 250
SCOTTSDALE
AZ
85254
1
EVP, CFO
Market Stock Units
0
2021-09-23
4
A
0
89874
A
Common Stock
89874
89874
D
Each unit converts upon vesting into one share of common stock.
See Exhibit 99.1 for vesting terms and conditions
There are no expiration dates on MSUs.
/s/ Barbara R. Wallace, attorney-in-fact
2021-09-27