0000904454-23-000613.txt : 20231113 0000904454-23-000613.hdr.sgml : 20231113 20231113173344 ACCESSION NUMBER: 0000904454-23-000613 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231108 FILED AS OF DATE: 20231113 DATE AS OF CHANGE: 20231113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Struble Wayne Mack CENTRAL INDEX KEY: 0001987730 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35451 FILM NUMBER: 231400290 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: 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 edgar.xml PRIMARY DOCUMENT X0508 4 2023-11-08 0 0001493594 MACOM Technology Solutions Holdings, Inc. MTSI 0001987730 Struble Wayne Mack C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS 100 CHELMSFORD STREET LOWELL MA 01851 0 1 0 0 SVP, Advanced Semiconductor 0 Common Stock 2023-11-08 4 A 0 3069 0 A 16668 D Represents restricted stock units ("RSUs") granted to the Reporting Person under the Issuer's 2021 Omnibus Incentive Plan. Each RSU represents the contingent right to receive one share of Common Stock. The RSUs vest in three equal annual installments on November 8, 2024, November 8, 2025 and November 8, 2026, provided that the Reporting Person remains in continuous service with the Issuer through each such vesting date. /s/ Ambra R. Roth, Attorney-in-Fact 2023-11-13