0001633978-17-000161.txt : 20171211 0001633978-17-000161.hdr.sgml : 20171211 20171211184518 ACCESSION NUMBER: 0001633978-17-000161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171208 FILED AS OF DATE: 20171211 DATE AS OF CHANGE: 20171211 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: 171250626 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_151303590273084.xml FORM 4 X0306 4 2017-12-08 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 2017-12-08 4 M 0 2055 0 A 24282 D Common Stock 0.0 2017-12-08 4 M 0 2055 0 D 2017-12-08 Common Stock 2055.0 0 D Restricted Stock Units have no expiration date. Judy G Hamel as Attorney-in-Fact 2017-12-11