0001973727-23-000051.txt : 20231218 0001973727-23-000051.hdr.sgml : 20231218 20231218185848 ACCESSION NUMBER: 0001973727-23-000051 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20231218 DATE AS OF CHANGE: 20231218 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 231495174 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: Samueli Foundation CENTRAL INDEX KEY: 0001996005 ORGANIZATION NAME: IRS NUMBER: 330758237 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 144 BUSINESS ADDRESS: STREET 1: 2101 EAST COAST HIGHWAY STREET 2: THIRD FLOOR CITY: CORONA DEL MAR STATE: CA ZIP: 92625 BUSINESS PHONE: 949-760-4400 MAIL ADDRESS: STREET 1: 2101 EAST COAST HIGHWAY STREET 2: THIRD FLOOR CITY: CORONA DEL MAR STATE: CA ZIP: 92625 144 1 primary_doc.xml 144 0001996005 XXXXXXXX LIVE 0001730168 Broadcom Inc. 001-38449 3421 HILLVIEW AVENUE PALO ALTO CA 94304 650-427-6000 Samueli Foundation Board Member of Samueli Foundation Common Stock Northern Trust Securities, Inc.

50 S LaSalle Street Chicago IL 60603

1800 2060149.14 468140569 12/18/2023 NASDAQ Common Stock 04/13/2016 Gifted Shares D95GT, LLC Y 04/13/2016 1800 12/18/2023 Gifted Shares N UCI Foundation

5141 California Irvine CA 92617-560

Broadcom, Inc. 09/22/2023 12555 10338264.09 United States Olympic & Paralympic Foundation

27 S Tejon St Colorado Springs CO 80903

Broadcom, Inc. 09/25/2023 1570 1298614.92 PEF ISRAEL ENDOWMENT FUNDS INC

630 3rd Ave #15 New York NY 10017

Broadcom, Inc. 09/26/2023 12476 10237874.22 Samueli Foundation

1320 Ridder Park Drive San Jose CA 95131

Broadcom, Inc. 10/04/2023 3520 2881553.55 Samueli Foundation

1320 Ridder Park Drive San Jose CA 95131

Broadcom, Inc. 12/13/2023 14823 15952917.27 Samueli Foundation

1320 Ridder Park Drive San Jose CA 95131

Broadcom, Inc. 12/14/2023 14549 16134702.78 Samueli Foundation

1320 Ridder Park Drive, San Jose CA 95131

Broadcom, Inc. 12/15/2023 14385 16210747.10 12/18/2023 Michael Schulman on behalf of Samueli Foundation