SEC Form 4 · accession 0001234452-15-000298

QUALCOMM INC/DE · QCOM

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Executive Chairman · Director

Period of report

Nov 20, 2015

Accepted (ET)

Nov 24, 2015 · 3:00 pm EST

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^F1	Nov 20, 2015	M	35,824	$0.00	A	36,358	I	Personal Trust
Common Stock^F1	Nov 20, 2015	F	18,693	$49.62	D	17,665	I	Personal Trust
Common Stock	holding	—	—		—	48,403	D
Common Stock^F2	holding	—	—		—	20,232	I	By GRAT
Common Stock^F3	holding	—	—		—	29,067	I	by GRAT S
Common Stock	holding	—	—		—	397	I	by Spouse
Common Stock^F4	holding	—	—		—	1,027,269	I	by Trust

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Unit^F5,F6	—	Nov 20, 2015	M	35,825	D	—	Nov 20, 2015	Common Stock	35,825	0	D

F1Securities held by Paul E. Jacobs Trust U/A Dtd 11/07/2014.
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).
F4Securities held by Paul E. Jacobs and Stacy Jacobs Trustees for the Paul & Stacy Jacobs Family Trust dtd. 5/3/00.
F5Each Restricted Stock Unit is the economic equivalent of one share of Qualcomm common stock and is converted into common stock upon vesting.
F6The Restricted Stock Units (and allocable dividend equivalents) vest in equal one-third amounts on November 20, 2013, 2014 and 2015.