0001234452-12-000110.txt : 20120228 0001234452-12-000110.hdr.sgml : 20120228 20120228171131 ACCESSION NUMBER: 0001234452-12-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120227 FILED AS OF DATE: 20120228 DATE AS OF CHANGE: 20120228 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: 12648510 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 2012-02-27 0 0000804328 QUALCOMM INC/DE QCOM 0000902269 JACOBS IRWIN M 5775 MOREHOUSE DR. SAN DIEGO CA 92121-1714 1 0 0 0 Common Stock 2012-02-27 5 G 0 500000.0 0.0 A 7729339.0 I by GRAT S Common Stock 2012-02-27 5 G 0 500000.0 0.0 D 3136406.0 I by Trust Common Stock 2012-02-27 4 M 0 12500.0 17.47 A 3148906.0 I by Trust Common Stock 2012-02-27 4 S 0 12500.0 62.9 D 3136406.0 I by Trust Common Stock 16874.1729 D Common Stock 7729339.0 I By GRAT Non-Qualified Stock Option (right to buy) 17.47 2012-02-27 4 M 0 12500.0 0.0 D 2012-11-07 Common Stock 12500.0 181262.0 D Gift to Spouse's Grantor Retained Annuity Trust (GRAT) who shares reporting person's household. The reporting person disclaims beneficial ownership of the shares held by Mrs. Jacobs' GRAT, and this report should not be deemed an admission that the reporting person is the beneficial owner of his spouse's shares for purposes of Section 16 or for any other purpose. Securities held by Nicholas S. Oliva, Trustee of the Joan Klein Jacobs' Grantor Retained Annuity Trust. 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 transaction was conducted under a 10b5-1 Plan, as defined under the Securities Exchange Act of 1934, as amended. Securities held by Nicholas S. Oliva, Trustee of the Irwin Mark 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 2012-02-28