SEC Form 4 · accession 0001730168-18-000025
Broadcom Inc. · AVGO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Hock E Tan
Officer — President and CEO · Director
Period of report
Jun 15, 2018
Accepted (ET)
Jun 19, 2018 · 5:33 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001730168
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $0.001 par valueF2 | Jun 15, 2018 | M | 20,000 | $38.99 | A | 129,834 | D | |
| Common Stock, $0.001 par valueF3,F2 | Jun 15, 2018 | S | 600 | $268.021 | D | 129,234 | D | |
| Common Stock, $0.001 par valueF4,F2 | Jun 15, 2018 | S | 7,196 | $269.18 | D | 122,038 | D | |
| Common Stock, $0.001 par valueF5,F2 | Jun 15, 2018 | S | 11,103 | $269.976 | D | 110,935 | D | |
| Common Stock, $0.001 par valueF6,F2 | Jun 15, 2018 | S | 1,100 | $270.958 | D | 109,835 | D | |
| Common Stock, $0.001 par valueF2 | Jun 15, 2018 | S | 1 | $271.77 | D | 109,834 | D |
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)F7 | $38.99 | Jun 15, 2018 | M | 20,000 | D | — | Sep 21, 2020 | Common Stock, $0.001 par value | 20,000 | 1,417,916 | D |
Explanation of responses
- F1Transaction made pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
- F2Includes 4,507 Restricted Stock Units.
- F3Transaction executed in multiple trades at prices ranging from $267.54 to $268.53 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.
- F4Transaction executed in multiple trades at prices ranging from $268.60 to $269.55 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.
- F5Transaction executed in multiple trades at prices ranging from $269.63 to $270.61 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.
- F6Transaction executed in multiple trades at prices ranging from $270.65 to $271.26 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.
- F7Share price performance option (the "2013 Option") granted pursuant to the Avago Technologies Limited 2009 Equity Incentive Award Plan. The 2013 Option is fully vested and the exercisability requirements for the 2013 Option have been met.