SEC Form 4 · accession 0001054374-16-000141
BROADCOM CORP · BRCM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Henry Samueli
Officer — Chairman of the Board & CTO · Director
Period of report
Jan 8, 2016
Accepted (ET)
Jan 12, 2016 · 6:04 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001054374
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A common stockF1,F2,F3,F4 | Jan 8, 2016 | A | 98,212 | $0.00 | A | 653,505 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These securities awarded on 01/08/2016 are in the form of restricted stock units ("RSUs") that will entitle the Reporting Person to receive one share of the Issuer's Class A common stock per RSU. The RSUs will vest, and the underlying shares will be concurrently issued in a series of sixteen quarterly installments upon the Reporting Person's completion of each three month period of service over the period measured from 02/05/2016 through 02/05/2020.
- F2On 01/08/2016 the compensation committee of the board of directors of the Issuer determined (i) the level of performance achieved for the 2015 performance cycle under the Issuer's Restricted Stock Units Incentive Award Program; and (ii) that the award covering 98,212 restricted stock units related to the 2015 performance cycle will be awarded on 01/25/2016.
- F3These securities were awarded in an exempt transaction pursuant to SEC Rule 16b-3(d).
- F4Includes (i) 122,544 shares that are held as Class A common stock and (ii) 530,961 shares in the form of restricted stock units that will entitle the Reporting Person to receive one share of Class A common stock per restricted stock unit.