0001437749-15-014761.txt : 20150804
0001437749-15-014761.hdr.sgml : 20150804
20150804203826
ACCESSION NUMBER: 0001437749-15-014761
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150801
FILED AS OF DATE: 20150804
DATE AS OF CHANGE: 20150804
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: 0630
BUSINESS ADDRESS:
STREET 1: 430 NORTH MCCARTHY BOULEVARD
CITY: MILPITAS
STATE: CA
ZIP: 95035
BUSINESS PHONE: 408-546-5000
MAIL ADDRESS:
STREET 1: 430 NORTH MCCARTHY BOULEVARD
CITY: MILPITAS
STATE: CA
ZIP: 95035
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VIAVI SOLUTIONS INC.
CENTRAL INDEX KEY: 0000912093
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0628
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36861
FILM NUMBER: 151027191
BUSINESS ADDRESS:
STREET 1: 430 NORTH MCCARTHY BOULEVARD
CITY: MILPITAS
STATE: CA
ZIP: 95035
BUSINESS PHONE: 4084043600
MAIL ADDRESS:
STREET 1: 430 NORTH MCCARTHY BOULEVARD
CITY: MILPITAS
STATE: CA
ZIP: 95035
FORMER NAME:
FORMER CONFORMED NAME: JDS UNIPHASE CORP /CA/
DATE OF NAME CHANGE: 19990713
4
1
rdgdoc.xml
FORM 4
X0306
4
2015-08-01
0001633978
Lumentum Holdings Inc.
LITE
0000912093
VIAVI SOLUTIONS INC.
430 NORTH MCCARTHY BLVD.
MILPITAS
CA
95035
1
Common Stock
2015-08-01
5
J
0
47065189
0
D
11692855
D
The Reporting Person distributed 80.1% of the outstanding shares of Issuer's common stock to its stockholders on a pro rata basis in connection with the spin-off of the Issuer from the Reporting Person on 08/01/2015.
On 7/28/15, the Reporting Person's common stock of Issuer split 58,758,044-for-1,000, resulting in the Reporting Person's ownership of 58,757,044 additional shares of common stock.
/s/ Judy Hamel as Attorney-in-Fact for Rex Jackson
2015-08-04