0001888316-22-000021.txt : 20220315 0001888316-22-000021.hdr.sgml : 20220315 20220315160805 ACCESSION NUMBER: 0001888316-22-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220312 FILED AS OF DATE: 20220315 DATE AS OF CHANGE: 20220315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LIVERMORE ANN M CENTRAL INDEX KEY: 0001207622 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19528 FILM NUMBER: 22741129 MAIL ADDRESS: STREET 1: C/O HEWLETT-PACKARD CO STREET 2: 3000 HANOVER STREET CITY: PALO ALTO STATE: CA ZIP: 94304 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 2022-03-12 0 0000804328 QUALCOMM INC/DE QCOM 0001207622 LIVERMORE ANN M 5775 MOREHOUSE DR. SAN DIEGO CA 92121-1714 1 0 0 0 Common Stock 2022-03-12 4 M 0 4559 0.0 A 13417 I by Trust Common Stock 14084 I By GRAT Deferred Stock Unit 2022-03-12 4 M 0 4559.8255 0.0 D Common Stock 4559.8255 6944.4914 D Securities held by The Livermore 2003 Trust. 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: Ann M. Livermore 2022-03-14