MACOM TECHNOLOGY SOLUTIONS HOLDINGS, INC.
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(Name of Issuer)
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Common Stock, $0.001 par value
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(Title of Class of Securities)
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55405Y 100
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(CUSIP Number)
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December 31, 2017
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(Date of Event Which Requires Filing of this Statement)
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1.
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Name of Reporting Person
John L. Ocampo
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2.
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Check the Appropriate Box if a Member of a Group
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(a) [ ]
(b) [ ]
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3.
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SEC Use Only
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4.
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Citizenship or Place of Organization
United States of America
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Number of
Shares Beneficially
Owned by Each
Reporting Person
With
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5.
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Sole Voting Power
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0
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6.
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Shared Voting Power
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19,527,271
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7.
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Sole Dispositive Power
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0
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8.
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Shared Dispositive Power
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19,527,271
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9.
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Aggregate Amount Beneficially Owned by Each Reporting Person
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19,527,271
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|||
10.
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Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares
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[ ]
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11.
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Percent of Class Represented by Amount in Row (9)
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30.3%
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12.
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Type of Reporting Person
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IN
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1.
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Name of Reporting Person
Susan M. Ocampo
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2.
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Check the Appropriate Box if a Member of a Group
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(a) [ ]
(b) [ ]
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|||
3.
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SEC Use Only
|
||||
4.
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Citizenship or Place of Organization
United States of America
|
||||
Number of
Shares Beneficially
Owned by Each
Reporting Person
With
|
5.
|
Sole Voting Power
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0
|
||
6.
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Shared Voting Power
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19,527,271
|
|||
7.
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Sole Dispositive Power
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0
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|||
8.
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Shared Dispositive Power
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19,527,271
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|||
9.
|
Aggregate Amount Beneficially Owned by Each Reporting Person
|
19,527,271
|
|||
10.
|
Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares
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[ ]
|
|||
11.
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Percent of Class Represented by Amount in Row (9)
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30.3%
|
|||
12.
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Type of Reporting Person
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IN
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(a)
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Amount beneficially owned:
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19,527,271 shares (1)
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(b)
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Percent of class:
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30.3% (2)
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(c)
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Number of Shares as to which the person has:
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(i) Sole power to vote or to direct the vote:
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-0-
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(ii) Shared power to vote or to direct the vote:
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19,527,271 shares (1)
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(iii) Sole power to dispose or to direct the disposition of:
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-0-
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(iv) Shared power to dispose or to direct the disposition of:
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19,527,271 shares (1)
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(1)
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Consists of (i) 9,708,142 shares held by the Ocampo Family Trust – 2001 and (ii) an aggregate of 9,819,129 shares held by John L. Ocampo and Susan M. Ocampo as co-trustees for trusts for the benefit of their children (collectively, the "Trusts"). John L. Ocampo and Susan M. Ocampo are co-trustees of each of the Trusts and share voting and dispositive power over the shares held by the Trusts.
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(2)
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Based on 64,423,707 shares of Common Stock outstanding as of December 29, 2017, as provided to the Reporting Persons by the Issuer.
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January 11, 2018
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/s/ John L. Ocampo | |
John L. Ocampo |
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/s/ Susan M. Ocampo | |
Susan M. Ocampo | |||