0001730168-18-000027.txt : 20180628
0001730168-18-000027.hdr.sgml : 20180628
20180628173202
ACCESSION NUMBER: 0001730168-18-000027
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180627
FILED AS OF DATE: 20180628
DATE AS OF CHANGE: 20180628
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: 001-38449
FILM NUMBER: 18926507
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 Inc.
CENTRAL INDEX KEY: 0001730168
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1031
BUSINESS ADDRESS:
STREET 1: 1320 RIDDER PARK DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95131
BUSINESS PHONE: 408-433-8000
MAIL ADDRESS:
STREET 1: 1320 RIDDER PARK DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95131
FORMER COMPANY:
FORMER CONFORMED NAME: Broadcom Ltd
DATE OF NAME CHANGE: 20180201
4
1
wf-form4_153022150641675.xml
FORM 4
X0306
4
2018-06-27
0
0001730168
Broadcom Inc.
AVGO
0001469468
Ingram Bryan
C/O BROADCOM INC.
1320 RIDDER PARK DRIVE
SAN JOSE
CA
95131
0
1
0
0
SVP & GM, Wireless Semicon Div
Common Stock, $0.001 par value
2018-06-27
4
M
0
20000
62.02
A
87332
D
Common Stock, $0.001 par value
2018-06-27
4
S
0
9714
250.329
D
77618
D
Common Stock, $0.001 par value
2018-06-27
4
S
0
6086
251.554
D
71532
D
Common Stock, $0.001 par value
2018-06-27
4
S
0
1900
252.253
D
69632
D
Common Stock, $0.001 par value
2018-06-27
4
S
0
1600
253.689
D
68032
D
Common Stock, $0.001 par value
2018-06-27
4
S
0
700
254.818
D
67332
D
Stock Option (Right to Buy)
62.02
2018-06-27
4
M
0
20000
0
D
2021-03-10
Common Stock, $0.001 par value
20000.0
20000
D
Transaction made pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
Includes 40,375 Restricted Stock Units.
Transaction executed in multiple trades at prices ranging from $249.97 to $250.96 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
Transaction executed in multiple trades at prices ranging from $250.97 to $251.95 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
Transaction executed in multiple trades at prices ranging from $251.98 to $252.55 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
Transaction executed in multiple trades at prices ranging from $253.23 to $254.15 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
Transaction executed in multiple trades at prices ranging from $254.47 to $255.03 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
Share price performance option (the "2014 Option") granted pursuant to the Avago Technologies Limited 2009 Equity Incentive Award Plan. The 2014 Option is fully vested and the exercisability requirements for the 2014 Option have been met.
/s/ Noelle Matteson, Attorney-in-Fact for Bryan Ingram
2018-06-28