0001730168-19-000128.txt : 20191119
0001730168-19-000128.hdr.sgml : 20191119
20191119165656
ACCESSION NUMBER: 0001730168-19-000128
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191115
FILED AS OF DATE: 20191119
DATE AS OF CHANGE: 20191119
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: 191231920
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_157420060087257.xml
FORM 4
X0306
4
2019-11-15
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
2019-11-15
4
M
0
20000
38.99
A
246852
D
Common Stock, $0.001 par value
2019-11-15
4
S
0
16256
310.878
D
230596
D
Common Stock, $0.001 par value
2019-11-15
4
S
0
3744
312.206
D
226852
D
Stock Option (Right to Buy)
38.99
2019-11-15
4
M
0
20000
0
D
2020-09-21
Common Stock, $0.001 par value
20000.0
1209166
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 $310.70 to $311.69 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 $311.71 to $312.49 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
2019-11-19