0001730168-23-000108.txt : 20231222 0001730168-23-000108.hdr.sgml : 20231222 20231222192244 ACCESSION NUMBER: 0001730168-23-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231220 FILED AS OF DATE: 20231222 DATE AS OF CHANGE: 20231222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brazeal Mark David CENTRAL INDEX KEY: 0001627720 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 231511130 MAIL ADDRESS: STREET 1: 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] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 352617337 FISCAL YEAR END: 1029 BUSINESS ADDRESS: STREET 1: 3421 HILLVIEW AVENUE CITY: PALO ALTO STATE: CA ZIP: 94304 BUSINESS PHONE: 650-427-6000 MAIL ADDRESS: STREET 1: 3421 HILLVIEW AVENUE CITY: PALO ALTO STATE: CA ZIP: 94304 FORMER COMPANY: FORMER CONFORMED NAME: Broadcom Ltd DATE OF NAME CHANGE: 20180201 4 1 wk-form4_1703290956.xml FORM 4 X0508 4 2023-12-20 0 0001730168 Broadcom Inc. AVGO 0001627720 Brazeal Mark David C/O BROADCOM INC. 3421 HILLVIEW AVENUE PALO ALTO CA 94304 0 1 0 0 Chief Legal & Corp Affairs Ofc 0 Common Stock, $0.001 par value 2023-12-20 4 G 0 850 0 D 36018 D Includes 25,250 restricted stock units. /s/ Noelle Matteson, Attorney-in-Fact for Mark Brazeal 2023-12-22