-----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, NUsTncJhaMP4bYphxcTZ6V+RRAAaDbHz1J3jn4YpgffAO8xl/h49lzhJcpdRo73t wIdkgBdl87aPE6LHOfHJTA== 0001234452-04-000246.txt : 20041214 0001234452-04-000246.hdr.sgml : 20041214 20041214181539 ACCESSION NUMBER: 0001234452-04-000246 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041213 FILED AS OF DATE: 20041214 DATE AS OF CHANGE: 20041214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBS IRWIN M CENTRAL INDEX KEY: 0000902269 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19528 FILM NUMBER: 041202808 BUSINESS ADDRESS: BUSINESS PHONE: 6195871121 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 2004-12-13 0 0000804328 QUALCOMM INC/DE QCOM 0000902269 JACOBS IRWIN M 5775 MOREHOUSE DR. SAN DIEGO CA 92121-1714 1 1 0 0 Chairman & CEO Common Stock 2004-12-13 4 M 0 28000 1.69 A 29488451 I by Trust Common Stock 2004-12-13 4 S 0 68000 43.66 D 29420451 I by Trust Common Stock 2004-12-13 5 G 0 7644 0 D 29412807 I by Trust Common Stock 136078 I By GRAT Common Stock 136078 I by Spouse Non-Qualified Stock Option (right to buy) 1.69 2004-12-13 4 M 0 28000 0 D 2005-01-26 Common Stock 28000 190834 D Securities held by Irwin M. Jacobs & Joan Klein Jacobs as Trustees of the Irwin Mark Jacobs & Joan Klein Jacobs Family Trust UTA dtd 6/2/80, as amended 6/30/92. The disposition of shares was conducted under a 10b5-1 Plan, as defined under the Securities Exchange Act of 1934, as amended. Employee stock options granted under the Company's 1991 Stock Option Plan. The options vest at the rate of 20% on January 27, 1997, 20% on January 27, 1998, 20% on January 27, 1999, and 40% on January 27, 2000. By: Noreen E. Burns, Attorney-in-Fact For: Irwin M. Jacobs 2004-12-13 -----END PRIVACY-ENHANCED MESSAGE-----