SEC Form 4 · accession 0001649338-16-000039
Broadcom Ltd · AVGO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony E. Maslowski
Officer — SVP & Chief Financial Officer
Period of report
Mar 16, 2016
Accepted (ET)
Mar 18, 2016 · 8:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001649338
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Ordinary Shares, no par value | Mar 16, 2016 | M | 5,000 | $35.31 | A | 73,196 | D | |
| Ordinary Shares, no par valueF2,F3,F4 | Mar 16, 2016 | S | 6,975 | $147.61 | D | 66,221 | D | |
| Ordinary Shares, no par valueF5 | holding | — | — | — | 14,237 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F6 | $35.31 | Mar 16, 2016 | M | 5,000 | D | — | Mar 5, 2019 | Ordinary Shares, no par value | 5,000 | 7,500 | D |
Explanation of responses
- F1Transaction made pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
- F2Includes 1,975 shares sold by the Reporting Person pursuant to mandatory sale provisions of the relevant restricted share unit ("RSU") grant requiring the sale of sufficient shares to cover withholding taxes due upon vesting of RSUs.
- F3Transaction executed in multiple trades at prices ranging from $147.61 to $148.01 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote.
- F4Includes 57,833 RSUs.
- F5The shares are held by The Anthony E. Maslowski Trust dated May 20, 2011 for which the Reporting Person serves as trustee.
- F6The option is fully vested and exercisable.