0001730168-22-000042.txt : 20220317 0001730168-22-000042.hdr.sgml : 20220317 20220317170258 ACCESSION NUMBER: 0001730168-22-000042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220315 FILED AS OF DATE: 20220317 DATE AS OF CHANGE: 20220317 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Krause Thomas H. CENTRAL INDEX KEY: 0001670643 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 22749694 MAIL ADDRESS: STREET 1: 1320 RIDDER PARK 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: 352617337 FISCAL YEAR END: 1030 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_164755095927152.xml FORM 4 X0306 4 2022-03-15 0 0001730168 Broadcom Inc. AVGO 0001670643 Krause Thomas H. C/O BROADCOM INC. 1320 RIDDER PARK DRIVE SAN JOSE CA 95131 0 1 0 0 President of Broadcom SW Group Common Stock, $0.001 par value 2022-03-15 4 F 0 13137 592.76 D 50823 D Common Stock, $0.001 par value 2022-03-16 4 S 0 13798 585.29 D 37025 D Common Stock, $0.001 par value 2022-03-16 4 S 0 65 586.11 D 36960 D Consists of shares withheld by the Issuer to satisfy the tax withholding obligations of the Reporting Person upon the vesting of the relevant restricted stock units ("RSUs"), including performance stock units awards, previously granted to the Reporting Person. Includes 36,960 RSUs. Transaction executed in multiple trades at prices ranging from $585.02 to $585.98 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. Represents 36,960 RSUs. /s/Noelle Matteson, Attorney-in-Fact for Thomas H. Krause, Jr. 2022-03-17