SEC Form 5 · accession 0001649338-17-000123
Broadcom Ltd · AVGO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Diller
Director
Period of report
Oct 29, 2017
Accepted (ET)
Nov 29, 2017 · 6:20 pm EST
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 valueF2 | Oct 20, 2017 | G | 500 | $0.00 | D | 119,500 | I | See Footnote |
| Ordinary Shares, no par valueF3 | holding | — | — | — | 8,820 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Charitable gift.
- F2Shares held by the James V. Diller and June P. Diller Trust UA 7/20/77, for which the Reporting Person serves as Trustee.
- F3Includes 906 Restricted Share Units.