-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, H9u9udCIXz0kpSNrwACjS0nNxe5nlGPP8iY4FcVSry5Ce03Kvf/Pqh9Xp2Q+UBm/ r8Ia7CxvuKfnVMTkUwkobw== 0001234452-04-000179.txt : 20041004 0001234452-04-000179.hdr.sgml : 20041004 20041004170602 ACCESSION NUMBER: 0001234452-04-000179 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20041004 DATE AS OF CHANGE: 20041004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JHA SANJAY K CENTRAL INDEX KEY: 0001216458 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19528 FILM NUMBER: 041063268 BUSINESS ADDRESS: STREET 1: 5775 MOREHOUSE DR. CITY: SAN DIEGO STATE: CA ZIP: 92121 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: 0930 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 X0202 4 2004-09-30 0 0000804328 QUALCOMM INC/DE QCOM 0001216458 JHA SANJAY K 5775 MOREHOUSE DR. SAN DIEGO CA 92121-1714 0 1 0 0 President, QCT Phantom Stock Unit 1 2004-09-30 4 A 0 285 38.64 A Common Stock 285 13079.325 I by Grantor Trust The common stock issued under the terms of the Company's Executive Retirement Matching Contribution Plan, a tax conditioned plan, is exempt under Rule 16b-3. The shares are held in a grantor trust and stock is the only permissable form of distribution under the Plan. The rights awarded under the Company's Executive Retirement Matching Contribution Plan will be eligible for distribution upon termination and vest according to the following schedule: 100% at age 65 with acceleration provisions (1) at the rate of 25% per year for each subsequent year of participation, (2) after the individual reaches age 61, or (3) if they have more than 10 years of service. The rights awarded under the Company's Executive Retirement Matching Contribution Plan will be eligible for distribution upon termination. By: Noreen E. Burns, Attorney-in-Fact For: Sanjay K. Jha 2004-10-04 -----END PRIVACY-ENHANCED MESSAGE-----