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Form 4 MAXLINEAR INC For: Mar 29 Filed by: Tewksbury Ted L III

March 30, 2017 7:53 PM EDT
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person *
Tewksbury Ted L III

(Last) (First) (Middle)
C/O MAXLINEAR, INC.
5966 LA PLACE COURT, SUITE 100

(Street)
CARLSBAD CA 92008

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MAXLINEAR INC [ MXL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/29/2017
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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
Class A Common Stock 03/29/2017   C (1)   30,454 D $ 0 0 D  
Common Stock 03/29/2017   C (1)   30,454 A $ 0 30,454 D  
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Restricted Stock Units (2) 03/29/2017   J (3)     5,722   (4)   (4) Class A Common Stock 5,722 $ 0 0 D  
Restricted Stock Units (5) 03/29/2017   J (3)   5,722     (4)   (4) Common Stock 5,722 $ 0 5,722 D  
Restricted Stock Units (2) 03/29/2017   J (3)     6,217   (6)   (6) Class A Common Stock 6,217 $ 0 0 D  
Restricted Stock Units (5) 03/29/2017   J (3)   6,217     (6)   (6) Common Stock 6,217 $ 0 6,217 D  
Stock Option (Right to Buy) $ 7.57 03/29/2017   J (7)     35,822 05/08/2015 11/20/2024 Class A Common Stock 35,822 $ 0 0 D  
Stock Option (Right to Buy) $ 7.57 03/29/2017   J (7)   35,822   05/08/2015 11/20/2024 Common Stock 35,822 $ 0 35,822 D  
Stock Option (Right to Buy) $ 23.17 03/29/2017   J (7)     18,296 04/30/2015 09/07/2020 Class A Common Stock 18,296 $ 0 0 D  
Stock Option (Right to Buy) $ 23.17 03/29/2017   J (7)   18,296   04/30/2015 09/07/2020 Common Stock 18,296 $ 0 18,296 D  
Stock Option (Right to Buy) $ 23.97 03/29/2017   J (7)     3,582 04/30/2015 05/19/2021 Class A Common Stock 3,582 $ 0 0 D  
Stock Option (Right to Buy) $ 23.97 03/29/2017   J (7)   3,582   04/30/2015 05/19/2021 Common Stock 3,582 $ 0 3,582 D  
Stock Option (Right to Buy) $ 11.09 03/29/2017   J (7)     3,582 04/30/2015 05/15/2022 Class A Common Stock 3,582 $ 0 0 D  
Stock Option (Right to Buy) $ 11.09 03/29/2017   J (7)   3,582   04/30/2015 05/15/2022 Common Stock 3,582 $ 0 3,582 D  
Stock Option (Right to Buy) $ 11.76 03/29/2017   J (7)     3,582 04/30/2015 05/14/2023 Class A Common Stock 3,582 $ 0 0 D  
Stock Option (Right to Buy) $ 11.76 03/29/2017   J (7)   3,582   04/30/2015 05/14/2023 Common Stock 3,582 $ 0 3,582 D  
Stock Option (Right to Buy) $ 8.74 03/29/2017   J (7)     3,582 04/30/2015 05/14/2024 Class A Common Stock 3,582 $ 0 0 D  
Stock Option (Right to Buy) $ 8.74 03/29/2017   J (7)   3,582   04/30/2015 05/14/2024 Common Stock 3,582 $ 0 3,582 D  
Explanation of Responses:
1. On March 29, 2017, each share of the Issuer's outstanding Class A Common Stock and Class B Common Stock automatically converted into one share of outstanding Common Stock pursuant to the Issuer's Amended and Restated Certificate of Incorporation.
2. Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's Class A Common Stock.
3. In connection with the conversion described in footnote (1), outstanding RSUs denominated by Class A Common Stock issued under the Issuer's 2010 Equity Incentive Plan remain unchanged, except that they now represent a contingent right to receive one share of the Issuer's Common Stock.
4. The RSU became fully vested on May 8, 2015.
5. Each RSU represents a contingent right to receive one share of the Issuer's Common Stock.
6. Subject to the Reporting Person's continuing as a Director (as defined in the 2010 Equity Incentive Plan) through such date, one hundred percent (100%) of the RSUs subject to the award will vest on the earlier to occur of May 1, 2017 or the date immediately preceding the 2017 annual meeting of stockholders.
7. In connection with the conversion described in footnote (1), outstanding options denominated by Class A Common Stock issued under the Issuer's 2010 Equity Incentive Plan remain unchanged, except that they now represent a right to receive one share of the Issuer's Common Stock.
/s/ Adam Spice, as Attorney-in-Fact 03/30/2017
** 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 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.


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