0001730168-23-000086.txt : 20231107
0001730168-23-000086.hdr.sgml : 20231107
20231107173716
ACCESSION NUMBER: 0001730168-23-000086
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: Kawwas Charlie B
CENTRAL INDEX KEY: 0001608425
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38449
FILM NUMBER: 231385272
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: 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_1699396627.xml
FORM 4
X0508
4
2023-11-03
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
President, Semi Solutions Grp
0
Common Stock, $0.001 par value
2023-11-03
4
A
0
35880
0
A
111170
D
Common Stock, $0.001 par value
2023-11-03
4
F
0
17790
882.68
D
93380
D
Common Stock, $0.001 par value
55
I
By Child 1
Common Stock, $0.001 par value
55
I
By Child 2
Common Stock, $0.001 par value
55
I
By spouse as custodian for Child 3
Common Stock, $0.001 par value
55
I
By spouse as custodian for Child 4
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.
Includes 20,980 RSUs.
/s/ Noelle Matteson, Attorney-in-Fact for Charlie B Kawwas
2023-11-07