0000904454-19-000695.txt : 20191031 0000904454-19-000695.hdr.sgml : 20191031 20191031183121 ACCESSION NUMBER: 0000904454-19-000695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191029 FILED AS OF DATE: 20191031 DATE AS OF CHANGE: 20191031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Daly Stephen G CENTRAL INDEX KEY: 0001330184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35451 FILM NUMBER: 191184778 MAIL ADDRESS: STREET 1: 100 CHELMSFORD STREET CITY: LOWELL STATE: MA ZIP: 01851 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MACOM Technology Solutions Holdings, Inc. CENTRAL INDEX KEY: 0001493594 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 270306875 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 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 edgar.xml PRIMARY DOCUMENT X0306 4 2019-10-29 0001493594 MACOM Technology Solutions Holdings, Inc. MTSI 0001330184 Daly Stephen G C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS 100 CHELMSFORD STREET LOWELL MA 01851 1 1 0 0 President and CEO Common Stock 2019-10-29 4 A 0 25274 0 A 186632 D Represents restricted stock units granted to the Reporting Person under the Issuer's 2012 Omnibus Incentive Plan, as amended and restated. Each restricted stock unit represents the contingent right to receive one share of Common Stock. The restricted stock units vest in three equal annual installments on October 29, 2020, October 29, 2021 and October 29, 2022, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date. /s/ Ambra R. Roth, Attorney-in-Fact 2019-10-31