SEC Form 4 · accession 0001234452-15-000154
QUALCOMM INC/DE · QCOM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul E Jacobs
Officer — Executive Chairman · Director
Period of report
May 3, 2015
Accepted (ET)
May 5, 2015 · 8:22 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000804328
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 5, 2015 | G | 304 | $0.00 | A | 48,403 | D | |
| Common StockF1 | Apr 27, 2015 | G | 35,000 | $0.00 | D | 839,738 | I | by Trust |
| Common StockF2 | holding | — | — | — | 126,350 | I | By GRAT | |
| Common StockF3 | holding | — | — | — | 126,350 | I | by GRAT S | |
| Common Stock | holding | — | — | — | 397 | I | by Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF5,F6,F4,F7 | — | May 3, 2015 | A | 578,655 | A | — | May 5, 2019 | Common Stock | 578,655 | 578,655 | D |
Explanation of responses
- F1Securities held by Paul E. Jacobs and Stacy Jacobs Trustees for the Paul & Stacy Jacobs Family Trust dtd. 5/3/00.
- F2Securities held by Harlan A. Jacobs, Trustee of The Paul E. Jacobs Grantor Retained Annuity Trust (GRAT).
- F3Securities held by Harlan A. Jacobs, Trustee of The Stacy R. Jacobs Grantor Retained Annuity Trust (GRAT).
- F4Each Restricted Stock Unit is the economic equivalent of one share of Qualcomm common stock and is converted into common stock upon vesting.
- F5These Restricted Stock Units were granted subject to performance vesting and service vesting requirements. On May 3, 2015, the Compensation Committee certified that the performance vesting conditions were satisfied.
- F6These Restricted Stock Units include an initial grant of 565,611 Restricted Stock Units, plus dividend equivalents accrued through the transaction date in the form of additional Restricted Stock Units that vest and are paid at the same time and in the same manner as the underlying Restricted Stock Units.
- F7The Restricted Stock Units (and allocable dividend equivalents)vest in equal one-third amounts on May 5, 2017, 2018 and 2019.