0001730168-23-000045.txt : 20230405 0001730168-23-000045.hdr.sgml : 20230405 20230405173230 ACCESSION NUMBER: 0001730168-23-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230403 FILED AS OF DATE: 20230405 DATE AS OF CHANGE: 20230405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAGE JUSTINE CENTRAL INDEX KEY: 0001359561 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 23803654 MAIL ADDRESS: STREET 1: 1320 RIDDER PARK DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 FORMER NAME: FORMER CONFORMED NAME: LIEN JUSTINE DATE OF NAME CHANGE: 20060417 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 wf-form4_168073033815572.xml FORM 4 X0407 4 2023-04-03 0 0001730168 Broadcom Inc. AVGO 0001359561 PAGE JUSTINE C/O BROADCOM INC. 1320 RIDDER PARK DRIVE SAN JOSE CA 95131 1 0 0 0 0 Common Stock, $0.001 par value 2023-04-03 4 A 0 397 0 A 3378 D Grant of Restricted Stock Units ("RSUs"). Upon vesting thereof, the Reporting Person is entitled to receive one (1) share of the Issuer's common stock for each one (1) RSU. The Vesting Commencement Date is April 3, 2023. 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 the Issuer's stockholders immediately following the Vesting Commencement Date is held, subject to the Reporting Person's continuing service on the vesting date. Includes 397 RSUs. /s/ Noelle Matteson, Attorney-in-Fact for Justine F. Page 2023-04-05