0000904454-22-000522.txt : 20221031
0000904454-22-000522.hdr.sgml : 20221031
20221031180636
ACCESSION NUMBER: 0000904454-22-000522
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221027
FILED AS OF DATE: 20221031
DATE AS OF CHANGE: 20221031
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roth Ambra R.
CENTRAL INDEX KEY: 0001792846
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35451
FILM NUMBER: 221347751
MAIL ADDRESS:
STREET 1: C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS
STREET 2: 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
2022-10-27
0
0001493594
MACOM Technology Solutions Holdings, Inc.
MTSI
0001792846
Roth Ambra R.
C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS
100 CHELMSFORD STREET
LOWELL
MA
01851
0
1
0
0
SVP, GC, HR & Secretary
Common Stock
2022-10-27
4
A
0
3817
0
A
27498
D
Common Stock
2022-10-27
4
F
0
351
56.15
D
27147
D
Common Stock
2022-10-28
4
F
0
453
58.71
D
26694
D
Common Stock
2022-10-28
4
F
0
3169
58.71
D
23525
D
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 three equal annual installments on October 27, 2023, October 27, 2024 and October 27, 2025, provided that the Reporting Person remains in continuous service with the Issuer through each such vesting date.
Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of restricted stock units on October 27, 2022.
Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of restricted stock units on October 28, 2022.
Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of restricted stock units on October 29, 2022.
/s/ Ambra R. Roth
2022-10-31