0001649338-17-000155.txt : 20171219 0001649338-17-000155.hdr.sgml : 20171219 20171219202335 ACCESSION NUMBER: 0001649338-17-000155 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171218 FILED AS OF DATE: 20171219 DATE AS OF CHANGE: 20171219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ingram Bryan CENTRAL INDEX KEY: 0001469468 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37690 FILM NUMBER: 171265503 MAIL ADDRESS: STREET 1: C/O AVAGO TECHNOLOGIES LIMITED STREET 2: 350 WEST TRIMBLE ROAD, BLDG. 90 CITY: SAN JOSE STATE: CA ZIP: 95131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Broadcom Ltd CENTRAL INDEX KEY: 0001649338 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 000000000 FISCAL YEAR END: 1030 BUSINESS ADDRESS: STREET 1: 1 YISHUN AVENUE 7 CITY: SINGAPORE STATE: U0 ZIP: 768923 BUSINESS PHONE: 65-6755-7888 MAIL ADDRESS: STREET 1: 1 YISHUN AVENUE 7 CITY: SINGAPORE STATE: U0 ZIP: 768923 FORMER COMPANY: FORMER CONFORMED NAME: Pavonia Ltd DATE OF NAME CHANGE: 20150728 4 1 wf-form4_151373300179518.xml FORM 4 X0306 4 2017-12-18 0 0001649338 Broadcom Ltd AVGO 0001469468 Ingram Bryan C/O AVAGO TECHNOLOGIES US INC. 1320 RIDDER PARK DRIVE SAN JOSE CA 95131 0 1 0 0 SVP & GM, Wireless Semicon Div Ordinary Shares, no par value 2017-12-18 4 S 0 1182 264.377 D 80695 D Shares sold by the Reporting Person pursuant to mandatory sale provisions of the relevant restricted share unit ("RSU") grant requiring the sale of sufficient shares to cover withholding taxes due upon vesting of RSUs. Includes 64,750 RSUs. /s/ Noelle Matteson, Attorney-in-Fact for Bryan Ingram 2017-12-19