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