SEC Form 4 · accession 0000904454-17-000666
MACOM Technology Solutions Holdings, Inc. · MTSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas J Carlson
Officer — SVP & GM, RF & Microwave
Period of report
Nov 9, 2017
Accepted (ET)
Nov 14, 2017 · 9:10 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 | 18,769 | 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)F2 | $36.56 | Nov 9, 2017 | A | 30,000 | A | — | Nov 8, 2024 | Common Stock | 30,000 | 30,000 | 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.
- F2The 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.