SEC FORM 4 SEC Form 4
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*
QUINSEY RALPH

(Last) (First) (Middle)
C/O QORVO, INC.
7628 THORNDIKE ROAD

(Street)
GREENSBORO NC 27409

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Qorvo, Inc. [ QRVO ]
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)
01/01/2015
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
Common Stock 01/01/2015 A(1) 100,990 A (1) 100,990 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
Stock Option (Right to Buy) $10.47 01/01/2015 A(1) 7,850 09/01/2006(2) 08/23/2016 Common Stock 7,850 (1) 7,850 D
Stock Option (Right to Buy) $10.47 01/01/2015 A(1) 13,884 09/01/2008(3) 08/23/2016 Common Stock 13,884 (1) 13,884 D
Stock Option (Right to Buy) $12.38 01/01/2015 A(1) 130,843 09/01/2007(2) 04/27/2017 Common Stock 130,843 (1) 130,843 D
Stock Option (Right to Buy) $15.58 01/01/2015 A(1) 50,244 09/01/2008(4) 05/21/2018 Common Stock 50,244 (1) 50,244 D
Stock Option (Right to Buy) $15.58 01/01/2015 A(1) 83,739 09/01/2010(3) 05/21/2018 Common Stock 83,739 (1) 83,739 D
Stock Option (Right to Buy) $5.14 01/01/2015 A(1) 50,244 09/01/2009(4) 03/02/2019 Common Stock 50,244 (1) 50,244 D
Stock Option (Right to Buy) $5.14 01/01/2015 A(1) 100,487 09/01/2011(3) 03/02/2019 Common Stock 100,487 (1) 100,487 D
Stock Option (Right to Buy) $16.89 01/01/2015 A(1) 62,805 07/01/2010(4) 04/01/2020 Common Stock 62,805 (1) 62,805 D
Stock Option (Right to Buy) $16.89 01/01/2015 A(1) 146,544 07/01/2012(3) 04/01/2020 Common Stock 146,544 (1) 146,544 D
Stock Option (Right to Buy) $30 01/01/2015 A(1) 104,674 07/01/2013(3) 04/01/2021 Common Stock 104,674 (1) 104,674 D
Stock Option (Right to Buy) $14.19 01/01/2015 A(1) 52,337 07/09/2014(3) 04/09/2022 Common Stock 52,337 (1) 52,337 D
Stock Option (Right to Buy) $14.19 01/01/2015 A(1) 52,337 01/01/2015(5) 04/09/2022 Common Stock 52,337 (1) 52,337 D
Stock Option (Right to Buy) $11.59 01/01/2015 A(1) 35,518 07/05/2015(3) 04/05/2023 Common Stock 35,518 (1) 35,518 D
Stock Option (Right to Buy) $16.75 01/01/2015 A(1) 24,737 07/05/2015(3) 06/07/2023 Common Stock 24,737 (1) 24,737 D
Stock Option (Right to Buy) $31.08 01/01/2015 A(1) 5,100 07/07/2016(3) 04/07/2021 Common Stock 5,100 (1) 5,100 D
Explanation of Responses:
1. Common stock and derivative securities were acquired pursuant to the merger agreement dated February 22, 2014, as amended on July 15, 2014, by and among RF Micro Devices, Inc., TriQuint Semiconductor, Inc. ("TriQuint"), and Qorvo, Inc. ("Qorvo"). Upon the closing of the merger on January 1, 2015, TriQuint became a wholly-owned subsidiary of Qorvo and each share of TriQuint common stock was converted into 0.4187 shares of common stock of Qorvo. Also pursuant to the merger agreement, upon the closing of the merger on January 1, 2015, all TriQuint equity awards were assumed by Qorvo, with such equity awards to be exercisable for or able to be settled in shares of Qorvo common stock, based on the exchange ratio of 0.4187.
2. The option vests quarterly over four years beginning on this date.
3. The option vests in four quarterly installments beginning on this date.
4. The option vests quarterly over three years beginning on this date.
5. The option became fully vested on January 1, 2015 in connection with the merger.
Remarks:
/s/ Suzanne B. Rudy, by Power of Attorney 01/05/2015
** 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).
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