0000904454-24-000032.txt : 20240109 0000904454-24-000032.hdr.sgml : 20240109 20240109171120 ACCESSION NUMBER: 0000904454-24-000032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240105 FILED AS OF DATE: 20240109 DATE AS OF CHANGE: 20240109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shanmugaraj Murugesan CENTRAL INDEX KEY: 0001659714 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35451 FILM NUMBER: 24524071 MAIL ADDRESS: STREET 1: C/O ACACIA COMMUNICATIONS, INC. STREET 2: 3 CLOCK TOWER PLACE, SUITE 100 CITY: MAYNARD STATE: MA ZIP: 01754 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MACOM Technology Solutions Holdings, Inc. CENTRAL INDEX KEY: 0001493594 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] ORGANIZATION NAME: 04 Manufacturing 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 ownership.xml X0508 4 2024-01-05 0 0001493594 MACOM Technology Solutions Holdings, Inc. MTSI 0001659714 Shanmugaraj Murugesan C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS 100 CHELMSFORD STREET LOWELL MA 01851 1 0 0 0 0 Common Stock 2024-01-05 4 A 0 2077 0 A 2077 D Represents restricted stock units ("RSUs") granted on January 5, 2024, which vest as follows: 692 shares on February 15, 2025, 692 shares on February 15, 2026 and 693 shares on February 15, 2027, provided that the Reporting Person remains in continuous service with the Issuer through each such vesting date. The RSUs were granted to the Reporting Person under the Issuer's 2021 Omnibus Incentive Plan and each RSU represents the contingent right to receive one share of Common Stock. /s/ Ambra R. Roth, Attorney-in-Fact 2024-01-09