MACOM Technology Solutions (MTSI) Form 3 MACOM Technology Solutions / John Kober ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Kober John

(Last) (First) (Middle)

C/O MACOM TECHNOLOGY SOLUTIONS HOLDINGS

100 CHELMSFORD STREET

(Street)

LOWELL MA 01851

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
05/30/2019

3. Issuer Name and Ticker or Trading Symbol
MACOM Technology Solutions Holdings, Inc. [ MTSI ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Senior VP and CFO

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	37,352(1)(2)	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Includes (i) 16,788 restricted stock units ("RSUs") granted on March 15, 2019, which vest as follows: 4,197 RSUs vest on February 15, 2020, 4,197 RSUs vest on February 15, 2021, 4,197 RSUs vest on February 15, 2022 and 4,197 RSUs vest on February 15, 2023; (ii) 3,750 RSUs granted on May 31, 2018, which vest as follows: 1,250 RSUs vest on February 15, 2020, 1,250 RSUs vest on February 15, 2021 and 1,250 RSUs vest on February 15, 2022; (iii) 4,376 RSUs granted on March 15, 2018, which vest as follows: 1,458 RSUs vest on February 15, 2020, 1,458 RSUs vest on February 15, 2021 and 1,458 RSUs vest on February 15, 2022 (iv) 3,422 RSUs granted on March 14, 2017, which vest as follows: 1,710 RSUs vest on February 15, 2020 and 1,712 RSUs vest on February 15, 2021; and (v) 1,506 RSUs granted on March 17, 2016, which vest on February 15, 2020, [continued in footnote (2)]

2. provided with respect to each vesting event described herein that the Reporting Person remains in continuous service with the Issuer through such vesting date. All RSUs were granted to the Reporting Person under the Issuer's 2012 Omnibus Incentive Plan and each RSU represents the contingent right to receive one share of Common Stock.

Remarks:

Exhibit List: Exhibit 24 - Power of Attorney

	/s/ Ambra R. Roth, Attorney-in-Fact	06/03/2019
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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