0001234452-11-000374.txt : 20111109 0001234452-11-000374.hdr.sgml : 20111109 20111109120954 ACCESSION NUMBER: 0001234452-11-000374 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111107 FILED AS OF DATE: 20111109 DATE AS OF CHANGE: 20111109 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: 111190439 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 X0304 4 2011-11-07 0 0000804328 QUALCOMM INC/DE QCOM 0000902269 JACOBS IRWIN M 5775 MOREHOUSE DR. SAN DIEGO CA 92121-1714 1 0 0 0 Common Stock 2011-11-04 5 G 0 53676.0 0.0 D 3508118.0 I by Trust Common Stock 2011-11-07 5 G 0 17732.0 0.0 D 3490386.0 I by Trust Common Stock 2011-11-07 4 M 0 12500.0 17.47 A 3502886.0 I by Trust Common Stock 2011-11-07 4 S 0 12500.0 56.1749 D 3490386.0 I by Trust Common Stock 3877.354 D Common Stock 7865251.0 I By GRAT Common Stock 7865251.0 I by GRAT S Non-Qualified Stock Option (right to buy) 17.47 2011-11-07 4 M 0 12500.0 0.0 D 2012-11-07 Common Stock 12500.0 60681.0 I by Spouse The transaction was conducted under a 10b5-1 Plan, as defined under the Securities Exchange Act of 1934, as amended. 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 sale prices for this transaction ranged from $55.83 to $56.33. The filer hereby agrees to provide, upon request, full information regarding the number of shares sold at each separate price. Stock options held by Nicholas S. Oliva, Trustee of the Irwin Mark Jacobs' Grantor Retained Annuity Trust. Stock options held by Nicholas S. Oliva, Trustee of the Joan Klein Jacobs' Grantor Retained Annuity Trust. The options vest 10% on the six month anniversary of the date of grant and the remaining balance vests monthly thereafter. The option is fully vested five years after the date of grant. By: Noreen E. Burns, Attorney-in-Fact For: Irwin M. Jacobs 2011-11-08