Sec Form 4 Filing - CHUNG PETER Y @ MACOM Technology Solutions Holdings, Inc. - 2020-11-11

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
CHUNG PETER Y
2. Issuer Name and Ticker or Trading Symbol
MACOM Technology Solutions Holdings, Inc. [ MTSI]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O SUMMIT PARTNERS, 222 BERKELEY STREET, 18TH FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
11/11/2020
(Street)
BOSTON, MA02116
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/11/2020 X 1,270,679 A $ 14.05 1,309,086 I See Remarks. ( 1 ) ( 2 )
Common Stock 11/11/2020 S( 3 ) 420,368 D $ 42.47 888,718 I See Remarks. ( 1 ) ( 2 )
Warrant (right to buy)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
$ 14.05 11/11/2020 X 1,270,679 12/21/2010 12/21/2020 Common Stock 1,270,679 $ 0 0 I See Remarks ( 1 ) ( 2 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
CHUNG PETER Y
C/O SUMMIT PARTNERS
222 BERKELEY STREET, 18TH FLOOR
BOSTON, MA02116
X
Signatures
Robin W. Devereux, POA for Peter Y. Chung 11/13/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The Common Stock is held as follows: 530,293 shares in the name of Summit Partners Private Equity Fund VII-A, L.P.; 318,502 shares in the name of Summit Partners Private Equity Fund VII-B, L.P.; 1,416 shares in the name of Summit Investors I, LLC; 100 shares in the name of Summit Investors I (UK), L.P.; 38,407 shares in the name of Mr. Chung, which are held for the benefit of Summit Partners, L.P.
( 2 )Mr. Chung holds any Common Stock for the benefit of Summit Partners, L.P. which he has empowered to determine when the shares will be sold and which is entitled to the proceeds of any such sales. Summit Partners, L.P., through a two-person Investment Committee, responsible for voting and investment decisions with respect to the Issuer, currently composed of Martin J. Mannion and Peter Y. Chung, has voting and dispositive authority over the shares reported herein and therefore may be deemed to beneficially own such shares. Summit Partners, L.P., Mr. Mannion and Mr. Chung disclaim beneficial ownership of the shares of Common Stock, except to the extent of their pecuniary interest therein.
( 3 )On November 11, 2020, Summit Partners Private Equity Fund VII-A, L.P., Summit Partners Private Equity Fund VII-B, L.P., Summit Investors I, LLC and Summit Investors I (UK), L.P. (collectively, the "Summit Funds") exercised a warrant to purchase 1,270,679 shares of the Issuer's common stock for $14.05 a share. The Summit Funds paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 420,368 shares to pay the exercise price and issuing to the Summit Funds the remaining 850,311 shares.

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