0001973727-24-000023.txt : 20240416 0001973727-24-000023.hdr.sgml : 20240416 20240416175300 ACCESSION NUMBER: 0001973727-24-000023 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20240416 DATE AS OF CHANGE: 20240416 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: 1103 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 24848914 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
18601 24628548.02 463421237 04/16/2024 NASDAQ
Common Stock 08/14/1991 Gifted Shares D95GT, LLC Y 08/14/1991 18601 04/16/2024 Gifted Shares Y 04/16/2024 Michael Schulman on behalf of Samueli Foundation