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*
HURLSTON MICHAEL E.

(Last) (First) (Middle)
5300 CALIFORNIA AVENUE

(Street)
IRVINE CA 92617

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/01/2013
3. Issuer Name and Ticker or Trading Symbol
BROADCOM CORP [ BRCM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Worldwide Sales
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)
Class A common stock 127,378(1)(2) 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
Employee stock option (right to buy) (3) 05/04/2016 Class A common stock 30,000 $41.15 D
Employee stock option (right to buy) (3) 05/02/2017 Class A common stock 6,734 $32.93 D
Employee stock option (right to buy) (3) 04/23/2018 Class A common stock 14,650 $27.74 D
Employee stock option (right to buy) (4) 04/27/2019 Class A common stock 4,375 $23.17 D
Employee stock option (right to buy) (5) 02/04/2020 Class A common stock 28,296 $29.39 D
Employee stock option (right to buy) (5) 02/04/2020 Class A common stock 20,516 $29.39 D
Explanation of Responses:
1. Includes (i) 15,603 shares of the Issuer's Class A common stock, (ii) 1,094 shares in the form of restricted stock units ("RSUs") that will entitle the Reporting Person to receive one share of Class A common stock per RSU as all of such RSUs vest on 05/05/2013, (iii) 3,283 shares in the form of RSUs that will entitle the Reporting Person to receive one share of Class A common stock per RSU as the RSUs vest in a series of four quarterly installments from 05/05/2013 through 02/05/2014, (iv) 3,283 shares in the form of RSUs that will entitle the Reporting Person to receive one share of Class A common stock per RSU as all of such RSUs vest on 02/05/2014 (v) 11,031 shares in the form of RSUs that will entitle the Reporting Person to receive one share of Class A common stock per RSU as the RSUs vest in a series of eight quarterly installments from 05/05/2013 through 02/05/2015,
2. (vi) 24,885 shares in the form of RSUs that will entitle the Reporting Person to receive one share of Class A common stock per RSU as the RSUs vest in a series of twelve quarterly installments from 05/05/2013 through 02/05/2016, (vii) 30,423 shares in the form of RSUs that will entitle the Reporting Person to receive one share of Class A common stock per RSU as all of such RSUs vest on 02/05/2016, (viii) 37,776 shares in the form of RSUs that will entitle the Reporting Person to receive one share of Class A common stock per RSU as the RSUs vest in a series of sixteen quarterly installments from 05/05/2013 through 02/05/2016.
3. The option is fully vested and immediately exercisable.
4. Such option was granted on 04/28/2009 and vests in equal monthly installments through 04/28/2013.
5. Such option was granted on 02/05/2010 and vests in equal monthly installments through 02/05/2014.
Remarks:
/s/ Michael E. Hurlston 04/01/2013
** 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.
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 Number.