0001205233-21-000026.txt : 20210406 0001205233-21-000026.hdr.sgml : 20210406 20210406162955 ACCESSION NUMBER: 0001205233-21-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210405 FILED AS OF DATE: 20210406 DATE AS OF CHANGE: 20210406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Henderson Jeffrey William CENTRAL INDEX KEY: 0001324015 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19528 FILM NUMBER: 21809461 MAIL ADDRESS: STREET 1: 7000 CARDINAL PLACE CITY: DUBLIN STATE: OH ZIP: 43017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QUALCOMM INC/DE CENTRAL INDEX KEY: 0000804328 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 953685934 STATE OF INCORPORATION: DE FISCAL YEAR END: 0926 BUSINESS ADDRESS: STREET 1: 5775 MOREHOUSE DR CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8585871121 MAIL ADDRESS: STREET 1: 5775 MOREHOUSE DR CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2021-04-05 0 0000804328 QUALCOMM INC/DE QCOM 0001324015 Henderson Jeffrey William 5775 MOREHOUSE DR. SAN DIEGO CA 92121-1714 1 0 0 0 Common Stock 2021-04-05 4 M 0 4134 0.0 A 5348 D Common Stock 2021-04-05 4 D 0 1333 140.33 D 4015 D Deferred Stock Unit 2021-04-05 4 M 0 4134.6854 0.0 D Common Stock 4134.6854 9578.6065 D Each Deferred Stock Unit represents a right to receive one share of the Company's common stock. Deferred Stock Units are 100% vested on the grant date. The units will be settled in shares of the Company's common stock (and partially in cash if election is made within 60 days of the date of grant) in accordance with the grant agreement on the earlier of (1) third anniversary of the date of grant, (2) death, (3) disability, or (4) a change in control. By: David Zuckerman, Attorney-in-Fact For: Jeffrey W. Henderson 2021-04-06