0001633978-16-000152.txt : 20161216
0001633978-16-000152.hdr.sgml : 20161216
20161216194251
ACCESSION NUMBER: 0001633978-16-000152
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161215
FILED AS OF DATE: 20161216
DATE AS OF CHANGE: 20161216
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: 0630
BUSINESS ADDRESS:
STREET 1: 400 NORTH MCCARTHY BOULEVARD
CITY: MILPITAS
STATE: CA
ZIP: 95035
BUSINESS PHONE: 408-546-5483
MAIL ADDRESS:
STREET 1: 400 NORTH MCCARTHY BOULEVARD
CITY: MILPITAS
STATE: CA
ZIP: 95035
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lillie Brian
CENTRAL INDEX KEY: 0001648231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36861
FILM NUMBER: 162057587
MAIL ADDRESS:
STREET 1: 1485 BROOKMILL ROAD
CITY: LOS ALTOS
STATE: CA
ZIP: 94024
4
1
wf-form4_148193535817323.xml
FORM 4
X0306
4
2016-12-15
0
0001633978
Lumentum Holdings Inc.
LITE
0001648231
Lillie Brian
C/O LUMENTUM
400 NORTH MCCARTHY BLVD
MILPITAS
CA
95035
1
0
0
0
Common Stock
2016-12-15
4
M
0
9869
0
A
17416
D
Restricted Stock Units
0.0
2016-12-15
4
M
0
9869
0
D
2016-12-15
Common Stock
9869.0
0
D
Each unit converts upon vesting into one share of common stock.
Restricted Stock Units have no expiration date.
/s/ Judy G Hamel as Attorney-in-Fact
2016-12-16