0001973727-23-000053.txt : 20231219
0001973727-23-000053.hdr.sgml : 20231219
20231219181319
ACCESSION NUMBER: 0001973727-23-000053
CONFORMED SUBMISSION TYPE: 144/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20231219
DATE AS OF CHANGE: 20231219
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 001-38449
FILM NUMBER: 231498820
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/A
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/A
1
primary_doc.xml
144/A
0001973727-23-000051
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
American Israel Public Affairs Committee
251 H Street NW
Washington
DC
20001
Broadcom, Inc.
12/18/2023
1800
2069238.00
The original Form 144, filed on December 18, 2023, is being amended by this Form 144 to include an additional sale of 1800 shares sold by American Israel Public Affairs Committee for an aggregate amount of 2,069,238.00.
12/19/2023
Michael Schulman on behalf of Samueli Foundation