0001633978-17-000127.txt : 20171103 0001633978-17-000127.hdr.sgml : 20171103 20171103183200 ACCESSION NUMBER: 0001633978-17-000127 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171102 FILED AS OF DATE: 20171103 DATE AS OF CHANGE: 20171103 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: 171177841 MAIL ADDRESS: STREET 1: 1485 BROOKMILL ROAD CITY: LOS ALTOS STATE: CA ZIP: 94024 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 4 1 wf-form4_150974830707580.xml FORM 4 X0306 4 2017-11-02 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 2017-11-02 4 A 0 2992 0 A 23690 D Each Restricted Stock Unit represents a contingent right to receive one share of common Stock of Lumentum Holding Inc. Award will vest upon the earlier of (i) the day prior to the next year's annual meeting of stockholders or (ii) one year from grant, subject to continued service as a director through the applicable vesting date. /s/ Judy G Hamel as Attorney-in-Fact 2017-11-03