SEC Form 4 · accession 0000904454-17-000664
MACOM Technology Solutions Holdings, Inc. · MTSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Vivek Rajgarhia
Officer — SVP & GM, Lightwave
Period of report
Nov 9, 2017
Accepted (ET)
Nov 14, 2017 · 9:07 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001493594
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Nov 9, 2017 | A | 4,097 | $0.00 | A | 56,004 | D | |
| Common StockF2 | Nov 9, 2017 | A | 17,500 | $0.00 | A | 73,504 | D | |
| Common StockF3 | Nov 9, 2017 | A | 17,500 | $0.00 | A | 91,004 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F4 | $36.56 | Nov 9, 2017 | A | 30,000 | A | — | Nov 8, 2024 | Common Stock | 30,000 | 30,000 | D |
| Stock Option (Right to Buy)F5 | $34.46 | Nov 9, 2017 | A | 10,000 | A | Nov 9, 2017 | Apr 22, 2022 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Represents restricted stock units granted to the Reporting Person under the Issuer's 2012 Omnibus Incentive Plan. Each restricted stock unit represents the contingent right to receive one share of the Issuer's common stock. The restricted stock units vest in four equal annual installments on May 15, 2019, May 15, 2020, May 15, 2021 and May 15, 2022, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
- F2Represents restricted stock units granted to the Reporting Person under the Issuer's 2012 Omnibus Incentive Plan. Each restricted stock unit represents the contingent right to receive one share of the Issuer's common stock. The restricted stock units vest in three equal annual installments on May 15, 2018, May 15, 2019 and May 15, 2020, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
- F3Represents restricted stock units granted to the Reporting Person under the Issuer's 2012 Omnibus Incentive Plan. Each restricted stock unit represents the contingent right to receive one share of the Issuer's common stock. The restricted stock units vest in two equal annual installments on May 15, 2021 and May 15, 2022, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date.
- F4The stock option vests in full upon achievement of a 30-day trailing average stock price based performance metric during the term of the stock option.
- F5On April 22, 2015 the Reporting Person was granted an option to purchase 10,000 shares of Common Stock. The stock option vests upon achievement of certain performance metrics in any four consecutive fiscal quarters completed during the term of the stock option. On November 9, 2017 certain performance criteria were certified to have been met, resulting in vesting of the stock option in full.