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