0001633978-22-000056.txt : 20221116 0001633978-22-000056.hdr.sgml : 20221116 20221116202925 ACCESSION NUMBER: 0001633978-22-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221116 FILED AS OF DATE: 20221116 DATE AS OF CHANGE: 20221116 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: 221396642 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: 0701 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_166864855075502.xml FORM 4 X0306 4 2022-11-16 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 2022-11-16 4 A 0 3061 0 A 9624 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 on the earlier of one year from the grant date or the day prior to the date of the Issuer's next annual meeting of stockholders, 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 2022-11-16