0001730168-19-000064.txt : 20190321
0001730168-19-000064.hdr.sgml : 20190321
20190321201209
ACCESSION NUMBER: 0001730168-19-000064
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190319
FILED AS OF DATE: 20190321
DATE AS OF CHANGE: 20190321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kawwas Charlie B
CENTRAL INDEX KEY: 0001608425
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38449
FILM NUMBER: 19698184
MAIL ADDRESS:
STREET 1: C/O AVAGO TECHNOLOGIES U.S. INC.
STREET 2: 350 WEST TRIMBLE ROAD
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_155321351459105.xml
FORM 4
X0306
4
2019-03-19
0
0001730168
Broadcom Inc.
AVGO
0001608425
Kawwas Charlie B
C/O BROADCOM INC.
1320 RIDDER PARK DRIVE
SAN JOSE
CA
95131
0
1
0
0
SVP & Chief Sales Officer
Common Stock, $0.001 par value
2019-03-19
4
M
0
3668
38.92
A
109477
D
Common Stock, $0.001 par value
2019-03-19
4
M
0
5662
62.63
A
115139
D
Common Stock, $0.001 par value
2019-03-19
4
S
0
9330
295.925
D
105809
D
Stock Option (Right to Buy)
38.92
2019-03-19
4
M
0
3668
0
D
2020-03-01
Common Stock, $0.001 par value
3668.0
0
D
Stock Option (Right to Buy)
62.63
2019-03-19
4
M
0
5662
0
D
2021-03-01
Common Stock, $0.001 par value
5662.0
0
D
Includes 62,625 Restricted Stock Units.
Transaction executed in multiple trades at prices ranging from $295.76 to $296.12 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.
The option is fully vested and exercisable.
/s/ Noelle Matteson, Attorney-In-Fact for Charlie B Kawwas
2019-03-21