0001730168-19-000111.txt : 20190717
0001730168-19-000111.hdr.sgml : 20190717
20190717174505
ACCESSION NUMBER: 0001730168-19-000111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190715
FILED AS OF DATE: 20190717
DATE AS OF CHANGE: 20190717
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TAN HOCK E
CENTRAL INDEX KEY: 0001211588
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38449
FILM NUMBER: 19959903
MAIL ADDRESS:
STREET 1: C/O AVAGO TECHNOLOGIES U.S. INC.
STREET 2: 1320 RIDDER PARK DRIVE
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: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1103
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_156339989025613.xml
FORM 4
X0306
4
2019-07-15
0
0001730168
Broadcom Inc.
AVGO
0001211588
TAN HOCK E
C/O BROADCOM INC.
1320 RIDDER PARK DRIVE
SAN JOSE
CA
95131
1
1
0
0
President and CEO
Common Stock, $0.001 par value
2019-07-15
4
M
0
11250
35.45
A
238102
D
Common Stock, $0.001 par value
2019-07-15
4
M
0
8750
38.99
A
246852
D
Common Stock, $0.001 par value
2019-07-15
4
S
0
6600
291.272
D
240252
D
Common Stock, $0.001 par value
2019-07-15
4
S
0
12750
292.572
D
227502
D
Common Stock, $0.001 par value
2019-07-15
4
S
0
650
293.218
D
226852
D
Stock Option (Right to Buy)
35.45
2019-07-16
4
M
0
11250
0
D
2020-03-11
Common Stock, $0.001 par value
11250.0
0
D
Stock Option (Right to Buy)
38.99
2019-07-15
4
M
0
8750
0
D
2020-09-21
Common Stock, $0.001 par value
8750.0
1289166
D
Transaction made pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
Includes 3,004 Restricted Stock Units.
Transaction executed in multiple trades at prices ranging from $291.14 to $292.03 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.
Transaction executed in multiple trades at prices ranging from $292.14 to $293.11 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.
Transaction executed in multiple trades at prices ranging from $293.14 to $293.31 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.
Share price performance option granted pursuant to the Avago Technologies Limited 2009 Equity Incentive Award Plan. This option is fully vested and the exercisability requirements for this option have been met.
/s/ Noelle Matteson, Attorney-in-Fact for Hock E. Tan
2019-07-17