SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
THOMPSON JAMES H

(Last) (First) (Middle)
5775 MOREHOUSE DR.

(Street)
SAN DIEGO CA 92121-1714

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/01/2012
3. Issuer Name and Ticker or Trading Symbol
QUALCOMM INC/DE [ QCOM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 5,978 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (right to buy) (1) 10/23/2018 Common Stock 12,834 $34.99 D
Non-Qualified Stock Option (right to buy) (2) 10/22/2019 Common Stock 32,000 $40.7 D
Non-Qualified Stock Option (right to buy) (1) 10/25/2017 Common Stock 60,000 $41.33 D
Non-Qualified Stock Option (right to buy) (1) 04/23/2019 Common Stock 40,000 $41.36 D
Non-Qualified Stock Option (right to buy) (1) 04/24/2018 Common Stock 62,000 $43.24 D
Non-Qualified Stock Option (right to buy) (1) 04/26/2017 Common Stock 35,000 $44.63 D
Non-Qualified Stock Option (right to buy) (1) 04/13/2016 Common Stock 35,000 $51.48 D
Non-Qualified Stock Option (right to buy) (3) 07/05/2019 Common Stock 51,000 $55.31 D
Phantom Stock Unit(4) (5) (6) Common Stock 15,957.944 $1 I by Grantor Trust(4)
Restricted Stock Unit (7) 05/20/2020 Common Stock 10,939.0295 $1 D
Restricted Stock Unit (8) 11/20/2020 Common Stock 10,317.1758 $1 D
Restricted Stock Unit (8) 05/20/2021 Common Stock 10,241.2236 $1 D
Restricted Stock Unit (8) 09/27/2021 Common Stock 12,188.7924 $1 D
Restricted Stock Unit (8) 03/27/2022 Common Stock 10,084.151 $1 D
Restricted Stock Unit (8) 08/19/2022 Common Stock 11,989.906 $1 D
Restricted Stock Unit (8) 09/29/2022 Common Stock 34,354 $1 D
Explanation of Responses:
1. The options vest 10% on the six month anniversary of the date of grant and the remaining balance vests monthly thereafter, adjusted for any previously exercised options prior to becoming an affiliate. The option is fully vested five years after the date of grant.
2. The options vest on each six month date after the date of grant as to 1/8th of the total shares granted, adjusted for any previously exercised options prior to becoming an affiliate. The option is fully vested four years after the date of grant.
3. The options vest on the first anniversary of the date of grant as to 1/4th of the total shares granted, adjusted for any previously exercised options prior to becoming an affiliate. The option is fully vested four years after the date of grant.
4. The common stock issued under the terms of the Company's Executive Retirement Matching Contribution Plan, a tax conditioned plan, is exempt under Rule 16b-3. The shares are held in a grantor trust and stock is the only permissable form of distribution under the Plan.
5. The rights awarded under the Company's Executive Retirement Matching Contribution Plan will be eligible for distribution upon termination and vest according to the following schedule: 100% at age 65 with acceleration provisions (1) at the rate of 25% per year for each subsequent year of participation, (2) after the individual reaches age 61, or (3) if they have more than 10 years of service.
6. The rights awarded under the Company's Executive Retirement Matching Contribution Plan will be eligible for distribution upon termination.
7. These shares are represented by restricted stock units and unvested dividend equivalents. The units vest 100% on the third anniversary of the date of grant. Upon vesting, the restricted stock units will be paid out in whole shares of common stock.
8. These shares are represented by restricted stock units and unvested dividend equivalents. The units vest annually over three years. Upon vesting, the restricted stock units will be paid out in whole shares of common stock.
By: Noreen E. Burns, Attorney-in-Fact For: James H. Thompson 10/10/2012
** 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 5 (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.
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