Initial Statement of Beneficial Ownership (3)
May 23 2016 - 7:01PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Estimated average burden
hours per response...
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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
*
GASPARINI LAURA A
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2. Date of Event Requiring Statement (MM/DD/YYYY)
5/11/2016
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3. Issuer Name
and
Ticker or Trading Symbol
SKYWORKS SOLUTIONS, INC. [SWKS]
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(Last)
(First)
(Middle)
20 SYLVAN ROAD
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
VP, Human Resources /
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(Street)
WOBURN, MA 01801
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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5114
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D
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Common Stock
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446
(1)
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I
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By spouse
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Common Stock
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783
(2)
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I
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By 401(k) plan
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (Right to Buy)
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(3)
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11/10/2018
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Common Stock
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1500
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$19.08
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D
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Employee Stock Option (Right to Buy)
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(4)
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11/8/2019
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Common Stock
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2300
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$20.02
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D
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Employee Stock Option (Right to Buy)
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(5)
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11/7/2020
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Common Stock
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3450
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$25.25
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D
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Employee Stock Option (Right to Buy)
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(6)
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11/10/2021
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Common Stock
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4000
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$60.97
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D
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Employee Stock Option (Right to Buy)
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(7)
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11/9/2022
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Common Stock
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12000
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$84.89
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D
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Explanation of Responses:
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(
1)
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This total represents the number of shares of common stock held by the spouse of the Reporting Person. The Reporting Person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these securities for the purposes of Section 16 or for any other purposes.
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(
2)
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This total represents the number of shares of common stock held by the Reporting Person in the Skyworks Solutions, Inc. 401(k) plan based on the latest plan statement dated 4/30/2016.
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(
3)
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The stock option vested in four (4) equal installments, beginning on 11/10/2012 and ending on 11/10/2015.
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(
4)
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The stock option vests in four (4) equal installments, beginning on 11/8/2013 and ending on 11/8/2016.
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(
5)
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The stock option vests in four (4) equal installments, beginning on 11/7/2014 and ending on 11/7/2017.
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(
6)
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The stock option vests in four (4) equal installments, beginning on 11/10/2015 and ending on 11/10/2018.
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(
7)
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The stock option vests in four (4) equal installments, beginning on 11/9/2016 and ending on 11/9/2019.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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GASPARINI LAURA A
20 SYLVAN ROAD
WOBURN, MA 01801
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VP, Human Resources
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Signatures
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Robert J. Terry, as Attorney-In-Fact for Laura A. Gasparini
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5/23/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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