0000904454-22-000542.txt : 20221107 0000904454-22-000542.hdr.sgml : 20221107 20221107180421 ACCESSION NUMBER: 0000904454-22-000542 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221103 FILED AS OF DATE: 20221107 DATE AS OF CHANGE: 20221107 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: 221366684 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 2022-11-03 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 2022-11-03 4 A 0 23646 0 A 39659 D Common Stock 2022-11-03 4 F 0 11544 60.26 D 28115 D Represents performance-based restricted stock units ("PRSUs") previously granted to the Reporting Person under an equity compensation plan maintained by the Issuer, which vested and settled in shares of Common Stock on November 3, 2022. Shares withheld by the Issuer to satisfy the Reporting Person's tax withholding obligations in connection with the vesting and settling of PRSUs on November 3, 2022. /s/ Ambra R. Roth 2022-11-07