0000904454-24-000209.txt : 20240312
0000904454-24-000209.hdr.sgml : 20240312
20240312165546
ACCESSION NUMBER: 0000904454-24-000209
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240308
FILED AS OF DATE: 20240312
DATE AS OF CHANGE: 20240312
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: OCAMPO SUSAN
CENTRAL INDEX KEY: 0001252243
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35451
FILM NUMBER: 24743025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MACOM Technology Solutions Holdings, Inc.
CENTRAL INDEX KEY: 0001493594
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 270306875
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0929
BUSINESS ADDRESS:
STREET 1: 100 CHELMSFORD STREET
CITY: LOWELL
STATE: MA
ZIP: 01851
BUSINESS PHONE: (978) 656-2500
MAIL ADDRESS:
STREET 1: 100 CHELMSFORD STREET
CITY: LOWELL
STATE: MA
ZIP: 01851
FORMER COMPANY:
FORMER CONFORMED NAME: M/A-COM Technology Solutions Holdings, Inc.
DATE OF NAME CHANGE: 20100607
4
1
ownership.xml
X0508
4
2024-03-08
0
0001493594
MACOM Technology Solutions Holdings, Inc.
MTSI
0001252243
OCAMPO SUSAN
100 CHELMSFORD STREET
LOWELL
MA
01851
1
0
1
0
0
Common Stock
2024-03-08
4
A
0
2138
0
A
7150
D
Common Stock
6886661
I
By Ocampo Family Trust
Common Stock
7987681
I
By trusts for children
Represents restricted stock units granted to the Reporting Person under the Issuer's 2021 Omnibus Incentive Plan. Each restricted stock unit represents the contingent right to receive one share of Common Stock. The restricted stock units vest in full on March 8, 2025, provided that the Reporting Person remains in continuous service with the Issuer through the vesting date.
The Reporting Person is a trustee of the Ocampo Family Trust and each of the following three trusts for the benefit of her children: (i) a trust for her son; (ii) a trust for her daughter; and (iii) a trust for her son.
2,414,227 of such shares are held by a trust for the Reporting Person's son; 2,786,727 of such shares are held by a trust for the Reporting Person's daughter; and 2,786,727 of such shares are held by a trust for the Reporting Person's son.
/s/ Ambra R. Roth, Attorney-in-Fact
2024-03-12