0001633978-22-000008.txt : 20220311 0001633978-22-000008.hdr.sgml : 20220311 20220311172221 ACCESSION NUMBER: 0001633978-22-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220310 FILED AS OF DATE: 20220311 DATE AS OF CHANGE: 20220311 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wong Janet S. CENTRAL INDEX KEY: 0001605432 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36861 FILM NUMBER: 22734135 MAIL ADDRESS: STREET 1: 2510 LAKE FRONT CIRCLE CITY: THE WOODLANDS STATE: TX ZIP: 77380-1576 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Lumentum Holdings Inc. CENTRAL INDEX KEY: 0001633978 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] IRS NUMBER: 473108385 STATE OF INCORPORATION: DE FISCAL YEAR END: 0702 BUSINESS ADDRESS: STREET 1: 1001 RIDDER PARK DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 BUSINESS PHONE: 408-546-5483 MAIL ADDRESS: STREET 1: 1001 RIDDER PARK DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 4 1 wf-form4_164703731687847.xml FORM 4 X0306 4 2022-03-10 0 0001633978 Lumentum Holdings Inc. LITE 0001605432 Wong Janet S. C/O LUMENTUM HOLDINGS INC. 1001 RIDDER PARK DRIVE SAN JOSE CA 95131 1 0 0 0 Common Stock 2022-03-10 4 A 0 1706 0 A 6563 D Each share is represented by a restricted stock unit (RSU). Each RSU represents the contingent right to receive, following vesting, one share of Common Stock of the Issuer. 100% of the RSUs shall vest one year from the grant date, subject to the Reporting Person continuing through such date as a Service Provider, as defined under the Issuer's 2015 Equity Incentive Plan. /s/ Judy G. Hamel as Attorney-in-Fact 2022-03-11