SEC Form 4 · accession 0001730168-18-000065
Broadcom Inc. · AVGO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas H. Krause
Officer — Chief Financial Officer
Period of report
Dec 13, 2018
Accepted (ET)
Dec 17, 2018 · 5:13 pm EST
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 valueF1 | Dec 13, 2018 | M | 22,500 | $62.02 | A | 129,582 | D | |
| Common Stock, $0.001 par valueF2,F1 | Dec 13, 2018 | S | 10,519 | $256.628 | D | 119,063 | D | |
| Common Stock, $0.001 par valueF3,F1 | Dec 13, 2018 | S | 11,981 | $257.479 | D | 107,082 | 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)F4 | $62.02 | Dec 13, 2018 | M | 22,500 | D | — | Mar 10, 2021 | Common Stock, $0.001 par value | 22,500 | 0 | D |
Explanation of responses
- F1Includes 78,625 Restricted Stock Units.
- F2Transaction executed in multiple trades at prices ranging from $256.06 to $257.05 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.
- F3Transaction executed in multiple trades at prices ranging from $257.07 to $258.04 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.
- F4Share price performance option (the "2014 Option") granted on March 11, 2014 pursuant to the Avago Technologies Limited 2009 Equity Incentive Award Plan. The 2014 Option vests over four years, with 25% vesting on each anniversary of the date of grant, such that the 2014 Option fully vested on March 11, 2018. The exercisability requirements for the 2014 Option have been met.