0001633978-17-000060.txt : 20170817 0001633978-17-000060.hdr.sgml : 20170817 20170817211228 ACCESSION NUMBER: 0001633978-17-000060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170815 FILED AS OF DATE: 20170817 DATE AS OF CHANGE: 20170817 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: 171039997 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: 400 NORTH MCCARTHY BOULEVARD CITY: MILPITAS STATE: CA ZIP: 95035 BUSINESS PHONE: 408-546-5483 MAIL ADDRESS: STREET 1: 400 NORTH MCCARTHY BOULEVARD CITY: MILPITAS STATE: CA ZIP: 95035 4 1 wf-form4_150301873320633.xml FORM 4 X0306 4 2017-08-15 0 0001633978 Lumentum Holdings Inc. LITE 0001229072 COVERT HAROLD L C/O LUMENTUM 400 NORTH MCCARTHY BLVD MILPITAS CA 95035 1 0 0 0 Common Stock 2017-08-15 4 M 0 3282 0 A 19235 D Restricted Stock Units 0.0 2017-08-15 4 M 0 3282 0 D 2017-08-15 Common Stock 3282.0 3282 D Restricted Stock Units have no expiration date. Judy G Hamel as Attorney-in-Fact 2017-08-17