0001633978-21-000081.txt : 20211122 0001633978-21-000081.hdr.sgml : 20211122 20211122165914 ACCESSION NUMBER: 0001633978-21-000081 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211118 FILED AS OF DATE: 20211122 DATE AS OF CHANGE: 20211122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Reinhardt Jason CENTRAL INDEX KEY: 0001648196 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36861 FILM NUMBER: 211433295 MAIL ADDRESS: STREET 1: 400 N. MCCARTHY BLVD CITY: MILPITAS STATE: CA ZIP: 95035 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_163761833059106.xml FORM 4 X0306 4 2021-11-18 0 0001633978 Lumentum Holdings Inc. LITE 0001648196 Reinhardt Jason C/O LUMENTUM HOLDINGS INC. 1001 RIDDER PARK DRIVE SAN JOSE CA 95131 0 1 0 0 EVP, Global Sales Common Stock 2021-11-18 5 G 0 E 5554 0 D 81025 D /s/ Judy G Hamel as Attorney-in-Fact 2021-11-19