0001730168-23-000088.txt : 20231107 0001730168-23-000088.hdr.sgml : 20231107 20231107174958 ACCESSION NUMBER: 0001730168-23-000088 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231103 FILED AS OF DATE: 20231107 DATE AS OF CHANGE: 20231107 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: 231385321 MAIL ADDRESS: STREET 1: BROADCOM 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: 352617337 FISCAL YEAR END: 1029 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 wk-form4_1699397389.xml FORM 4 X0508 4 2023-11-03 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 0 Common Stock, $0.001 par value 2023-11-03 4 A 0 179400 0 A 350114 D Common Stock, $0.001 par value 2023-11-03 4 F 0 84561 882.68 D 265553 D Common Stock, $0.001 par value 2023-11-03 4 G 0 15757 0 D 249796 D Restricted stock units (RSUs) earned pursuant to performance stock units achieving certain performance criteria that are based on the Issuer's total stockholder return relative to the S&P 500 Index. /s/ Noelle Matteson, Attorney-in-Fact for Hock E. Tan 2023-11-07