0000899243-17-009747.txt : 20170407
0000899243-17-009747.hdr.sgml : 20170407
20170407162506
ACCESSION NUMBER: 0000899243-17-009747
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170405
FILED AS OF DATE: 20170407
DATE AS OF CHANGE: 20170407
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Broadcom Ltd
CENTRAL INDEX KEY: 0001649338
STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674]
IRS NUMBER: 000000000
FISCAL YEAR END: 1030
BUSINESS ADDRESS:
STREET 1: 1 YISHUN AVENUE 7
CITY: SINGAPORE
STATE: U0
ZIP: 768923
BUSINESS PHONE: 65-6755-7888
MAIL ADDRESS:
STREET 1: 1 YISHUN AVENUE 7
CITY: SINGAPORE
STATE: U0
ZIP: 768923
FORMER COMPANY:
FORMER CONFORMED NAME: Pavonia Ltd
DATE OF NAME CHANGE: 20150728
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hao Kenneth
CENTRAL INDEX KEY: 0001415357
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37690
FILM NUMBER: 17750050
MAIL ADDRESS:
STREET 1: C/O SILVER LAKE PARTNERS
STREET 2: 2775 SAND HILL ROAD, SUITE 100
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-04-05
0
0001649338
Broadcom Ltd
AVGO
0001415357
Hao Kenneth
C/O SILVER LAKE PARTNERS
2775 SAND HILL ROAD, SUITE 100
MENLO PARK
CA
94025
1
0
0
0
Ordinary Shares, no par value
2017-04-05
4
A
0
906
0.00
A
67659
I
See footnote
Ordinary Shares, no par value
18
I
See footnote
Ordinary Shares, no par value
1587737
I
Held through SLP Argo I Ltd.
Ordinary Shares, no par value
30830
I
Held through SLP Argo II Ltd.
Represents a grant of restricted stock units which, subject to Mr. Hao's continued service as a member of the board of directors through the vesting date, will vest in full on the earlier of April 5, 2018 or the date on which the annual general meeting of the Issuer shareholders immediately following the vesting commencement date is held.
These securities are held by Mr. Hao for the benefit of certain entities affiliated with Silver Lake (Offshore) AIV GP IV, Ltd. ("AIV GP IV") ("Silver Lake"). Mr. Hao serves as a director of the Issuer. Pursuant to Mr. Hao's arrangement with Silver Lake with respect to director compensation, upon the sale of these securities, the proceeds from such sale(s) are expected to be remitted to Silver Lake and/or its limited partners. Mr. Hao, through his role at Silver Lake and its affiliates, may be deemed to have an indirect interest in these securities. Mr. Hao is a director of AIV GP IV.
These securities are held by Mr. Hao's family limited partnership.
These securities are directly held by SLP Argo I Ltd. ("Argo I"). Mr. Hao, as a director of Argo I and AIV GP IV, the sole general partner of Silver Lake Technology Associates IV Cayman, L.P. ("SLTA IV Cayman"), the sole general partner of Silver Lake Partners IV Cayman (AIV II), L.P., the sole shareholder of Argo I, may be deemed to be the indirect beneficial owner of the securities directly owned by Argo I.
These securities are directly held by SLP Argo II Ltd. ("Argo II"). Mr. Hao, as a director of Argo II and AIV GP IV, the sole general partner of SLTA IV Cayman, the sole general partner of Silver Lake Technology Investors IV Cayman, L.P., the sole shareholder of Argo II, may be deemed to be the indirect beneficial owner of the securities directly owned by Argo II.
Pursuant to Rule 16a-1(a)(4) of the Exchange Act, this filing shall not be deemed an admission that the Reporting Person is a beneficial owner of all securities covered by this filing, and the Reporting Person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, if any.
By: /s/ Karen M. King, by Karen M. King, Attorney-in-fact for Kenneth Y. Hao
2017-04-07