SEC Form 4 · accession 0001730168-18-000079
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
Dec 17, 2018
Accepted (ET)
Dec 19, 2018 · 5:41 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,F2 | Dec 17, 2018 | F | 746 | $254.83 | D | 109,088 | D | |
| Common Stock, $0.001 par valueF2 | Dec 17, 2018 | M | 20,000 | $38.99 | A | 129,088 | D | |
| Common Stock, $0.001 par valueF4,F2 | Dec 17, 2018 | S | 2,320 | $254.063 | D | 126,768 | D | |
| Common Stock, $0.001 par valueF5,F2 | Dec 17, 2018 | S | 2,300 | $255.034 | D | 124,468 | D | |
| Common Stock, $0.001 par valueF6,F2 | Dec 17, 2018 | S | 5,500 | $256.50 | D | 118,968 | D | |
| Common Stock, $0.001 par valueF7,F2 | Dec 17, 2018 | S | 7,700 | $257.128 | D | 111,268 | D | |
| Common Stock, $0.001 par valueF8,F2 | Dec 17, 2018 | S | 2,180 | $258.169 | D | 109,088 | 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)F9 | $38.99 | Dec 17, 2018 | M | 20,000 | D | — | Sep 21, 2020 | Common Stock, $0.001 par value | 20,000 | 1,297,916 | D |
Explanation of responses
- F1Consists of shares withheld by the Issuer to satisfy the tax withholding obligations of the Reporting Person upon the vesting of the relevant restricted stock units ("RSUs") previously granted to the Reporting Person.
- F2Includes 3,004 RSUs.
- F3Transaction made pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.
- F4Transaction executed in multiple trades at prices ranging from $253.62 to $254.28 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 $254.71 to $255.59 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 $255.79 to $256.76 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.
- F7Transaction executed in multiple trades at prices ranging from $256.80 to $257.48 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.
- F8Transaction executed in multiple trades at prices ranging from $257.82 to $258.73 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.
- F9Share 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.