0000904454-23-000615.txt : 20231113
0000904454-23-000615.hdr.sgml : 20231113
20231113174623
ACCESSION NUMBER: 0000904454-23-000615
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: Roth Ambra R.
CENTRAL INDEX KEY: 0001792846
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35451
FILM NUMBER: 231400388
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
0001792846
Roth Ambra R.
C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS
100 CHELMSFORD STREET
LOWELL
MA
01851
0
1
0
0
SVP, GC and Secretary
0
Common Stock
2023-11-08
4
A
0
3187
0
A
10412
D
Common Stock
2023-11-09
4
A
0
9705
0
A
20117
D
Common Stock
2023-11-09
4
F
0
3494
72.41
D
16623
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.
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 9, 2023.
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 9, 2023.
/s/ Ambra R. Roth
2023-11-13