0001437749-23-015881.txt : 20230525
0001437749-23-015881.hdr.sgml : 20230525
20230525171353
ACCESSION NUMBER: 0001437749-23-015881
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230525
FILED AS OF DATE: 20230525
DATE AS OF CHANGE: 20230525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jensen Mark Edwin
CENTRAL INDEX KEY: 0001560798
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-18032
FILM NUMBER: 23961975
MAIL ADDRESS:
STREET 1: 6303 SNOWBERRY LANE
CITY: NIWOT
STATE: CO
ZIP: 80503
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LATTICE SEMICONDUCTOR CORP
CENTRAL INDEX KEY: 0000855658
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 930835214
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1230
BUSINESS ADDRESS:
STREET 1: 5555 NE MOORE CT
CITY: HILLSBORO
STATE: OR
ZIP: 97124
BUSINESS PHONE: 5032688000
MAIL ADDRESS:
STREET 1: 5555 NE MOORE CT
CITY: HILLSBORO
STATE: OR
ZIP: 97124
4
1
rdgdoc.xml
FORM 4
X0407
4
2023-05-25
0000855658
LATTICE SEMICONDUCTOR CORP
LSCC
0001560798
Jensen Mark Edwin
5555 NE MOORE COURT
HILLSBORO
OR
97124
1
0
Common Stock
2023-05-25
4
G
0
62565
0
D
63197
I
See Footnote (1)(2)
Common Stock
38677
D
The Reporting Person's most recent Form 4, filed May 10, 2023, with a transaction date of May 8, 2023, reported 101,874 shares of Common Stock held directly following the transactions reported in such Form 4 (the "05/08/23 Shares"). Of the 05/08/23 Shares, 63,197 shares are held by Genesis Property, LLC ("Genesis LLC"), of which the Reporting Person was the sole member and manager. The outstanding membership interests of Genesis LLC are comprised of 100 Class A units and 9,900 Class B units. On May 25, 2023, the 9,900 Class B units held by Genesis LLC were transferred by gift to the Jensen Family 2023 Irrevocable Trust (the "Trust"), for the benefit of the Reporting Person's spouse and descendants. For SEC purposes only, 62,565 of the 05/08/23 Shares are attributable to the Class B units of Genesis LLC and, therefore, the Trust has an interest in such 62,565 shares. (continued in footnote 2)
(continued from footnote 1) For SEC purposes only, the Reporting Person disclaims beneficial ownership of such 62,565 shares except to the extent of his pecuniary interest therein. The Reporting Person has the power to vote and dispose of all shares held by Genesis LLC and the Reporting Person has included all such shares as indirectly held in Column 6 of this Form 4.
38,677 of the of the 05/08/23 Shares are held directly by the Reporting Person.
/s/ Tracy Feanny, Attorney in Fact For: Mark Edwin Jensen
2023-05-25