0001633978-22-000017.txt : 20220816 0001633978-22-000017.hdr.sgml : 20220816 20220816183639 ACCESSION NUMBER: 0001633978-22-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220812 FILED AS OF DATE: 20220816 DATE AS OF CHANGE: 20220816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hamel Judy G CENTRAL INDEX KEY: 0001648170 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36861 FILM NUMBER: 221171602 MAIL ADDRESS: STREET 1: 400 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_166068938533108.xml FORM 4 X0306 4 2022-08-12 0 0001633978 Lumentum Holdings Inc. LITE 0001648170 Hamel Judy G C/O LUMENTUM HOLDINGS INC. 1001 RIDDER PARK DRIVE SAN JOSE CA 95131 0 1 0 0 SVP, GC and Secretary Common Stock 2022-08-12 4 A 0 6968 0 A 34991 D Common Stock 2022-08-15 4 F 0 1437 96.19 D 33554 D Represents the acquisition of performance stock units (PSUs) upon the determination of the Board of Directors of the Issuer that the performance conditions were met with respect to PSUs granted to the Reporting Person on November 13, 2019. 100% of the shares will vest on August 22, 2022. Represents shares that have been withheld by the Issuer to satisfy income tax withholding and remittance obligations in connection with the vesting of restricted stock units and performance stock units. /s/ Judy G Hamel 2022-08-16