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