0001209191-20-059831.txt : 20201120 0001209191-20-059831.hdr.sgml : 20201120 20201120201022 ACCESSION NUMBER: 0001209191-20-059831 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201119 FILED AS OF DATE: 20201120 DATE AS OF CHANGE: 20201120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COVERT HAROLD L CENTRAL INDEX KEY: 0001229072 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36861 FILM NUMBER: 201334051 MAIL ADDRESS: STREET 1: 400 NORTH MCCARTHY BLVD CITY: MILPITAS STATE: CA ZIP: 95035 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: 0703 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 doc4.xml FORM 4 SUBMISSION X0306 4 2020-11-19 0 0001633978 Lumentum Holdings Inc. LITE 0001229072 COVERT HAROLD L C/O LUMENTUM HOLDINGS INC., 1001 RIDDER PARK DRIVE SAN JOSE CA 95131 1 0 0 0 Common Stock 2020-11-19 4 A 0 2666 0.00 A 12666 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, 2021 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 2020-11-20