0001730168-22-000067.txt : 20220406
0001730168-22-000067.hdr.sgml : 20220406
20220406163735
ACCESSION NUMBER: 0001730168-22-000067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220404
FILED AS OF DATE: 20220406
DATE AS OF CHANGE: 20220406
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HARTENSTEIN EDDY W
CENTRAL INDEX KEY: 0001142524
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38449
FILM NUMBER: 22811000
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_164927744093660.xml
FORM 4
X0306
4
2022-04-04
0
0001730168
Broadcom Inc.
AVGO
0001142524
HARTENSTEIN EDDY W
C/O BROADCOM INC.
1320 RIDDER PARK DRIVE
SAN JOSE
CA
95131
1
0
0
0
Common Stock, $0.001 par value
2022-01-04
5
G
0
E
655
0
D
12909
I
See Footnote
Common Stock, $0.001 par value
2022-04-04
4
A
0
413
0
A
889
D
Charitable gift.
Shares held by the Hartenstein family trust, for which the Reporting Person serves as trustee.
Grant of Restricted Stock Units ("RSUs"). Upon vesting thereof, the Reporting Person is entitled to receive one (1) share of Issuer's common stock for each one (1) RSU. The Vesting Commencement Date is April 4, 2022. The RSUs vest in full on the earlier of (i) the first anniversary of the Vesting Commencement Date or (ii) the date on which the annual meeting of Issuer's stockholders immediately following the Vesting Commencement Date is held, subject to Reporting Person's continuing service on the vesting date.
Includes 413 RSUs.
/s/ Noelle Matteson, Attorney-in-Fact for Eddy W. Hartenstein
2022-04-06