MACOM Technology Solutions Holdings, Inc. — Director's Dealing 2017

Oct 19, 2017

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: MACOM Technology Solutions Holdings, Inc. (MTSI)
CIK: 0001493594
Period of Report: 2017-10-09

Reporting Person: CARLSON DOUGLAS J (SVP & GM, RF & Microwave)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	14672	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Stock Option (Right to Buy)	$2.00	2020-08-14	Common Stock (600)		Direct
Stock Option (Right to Buy)	$32.10	2022-11-13	Common Stock (10000)		Direct
Stock Option (Right to Buy)	$40.25	2023-11-09	Common Stock (20000)		Direct

Footnotes

F1: Includes (i) 4,000 restricted stock units ("RSUs") granted on March 14, 2017, which vest as follows: 1,000 RSUs vest on February 15, 2018, 1,000 RSUs vest on February 15, 2019, 1,000 RSUs vest on February 15, 2020 and 1,000 RSUs vest on February 15, 2021, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date; (ii) 2,383 RSUs granted on March 17, 2016, which vest as follows: 794 RSUs vest on February 15, 2018, 794 RSUs vest on February 15, 2019 and 795 RSUs vest on February 15, 2020, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date; [continued below]

F2: (iii) 1,806 RSUs granted on March 23, 2015, which vest as follows: 903 RSUs vest on February 15, 2018 and 903 RSUs vest on vest on February 15, 2019, provided that the Reporting Person remains in continuous service with the Issuer through each vesting date; and (iv) 875 RSUs granted on January 29, 2014, which vest on February 15, 2018, provided 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.

F3: The Stock Option vested in full on August 1, 2014.

F4: 100% of the Stock Option shall become vested and exercisable in the event that the 30 trading day trailing average closing price per share of the Common Stock meets or exceeds $64.22 per share.

F5: 100% of the Stock Option shall become vested and exercisable in the event that the 30 trading day trailing average closing price per share of the Common Stock meets or exceeds $66.96 per share.