0001649338-16-000061.txt : 20160407 0001649338-16-000061.hdr.sgml : 20160407 20160407192710 ACCESSION NUMBER: 0001649338-16-000061 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160406 FILED AS OF DATE: 20160407 DATE AS OF CHANGE: 20160407 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DILLER JAMES CENTRAL INDEX KEY: 0001215805 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37690 FILM NUMBER: 161561080 MAIL ADDRESS: STREET 1: 1001 MURPHY RANCH ROAD CITY: MILPITAS STATE: CA ZIP: 95035 4 1 wf-form4_146007161846172.xml FORM 4 X0306 4 2016-04-06 0 0001649338 Broadcom Ltd AVGO 0001215805 DILLER JAMES C/O AVAGO TECHNOLOGIES US INC. 1320 RIDDER PARK DRIVE SAN JOSE CA 95131 1 0 0 0 Ordinary Shares, no par value 2016-04-06 4 A 0 1325 0 A 7914 D Ordinary Shares, no par value 29745 I See Footnote Ordinary Shares, no par value 90255 I See Footnote Grant of Restricted Share Units ("RSUs") pursuant to the Avago Technologies Limited 2009 Equity Incentive Award Plan (the "Avago Plan"). Upon vesting thereof, the Reporting Person is entitled to receive one (1) Ordinary Share for each one (1) RSU. The RSUs vest in full on April 6, 2017, subject to the Reporting Person's continuing service on the vesting date. Includes 2,888 RSUs. Shares held by the June P. Diller Annuity Trust-2010B dated May 10, 2010, for which the Reporting Person serves as Trustee. Shares held by the James V. Diller and June P. Diller Trust UA 7/20/77, for which the Reporting Person serves as Trustee. /s/ Patricia McCall, Attorney-in-Fact for James Diller 2016-04-07