SEC Form 4 · accession 0001234452-16-000536
QUALCOMM INC/DE · QCOM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian Modoff
Officer — EVP, Strategy and M&A
Period of report
Oct 19, 2016
Accepted (ET)
Oct 20, 2016 · 12:51 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 StockF1 | Oct 19, 2016 | M | 7,407 | $0.00 | A | 9,907 | I | by Trust |
| Common StockF1 | Oct 19, 2016 | F | 2,026 | $65.79 | D | 7,881 | I | by Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF2,F3 | — | Oct 19, 2016 | M | 7,408 | D | — | Oct 19, 2018 | Common Stock | 7,408 | 14,815 | D |
Explanation of responses
- F1Securities held by Brian Modoff & Terry Modoff TTEES the Modoff Family Rev Trust uad 6/22/01 AMD & RSTD 12/3/2015.
- F2Each Restricted Stock Unit is the economic equivalent of one share of Qualcomm common stock and is converted into common stock upon vesting.
- F3The Restricted Stock Units (and allocable dividend equivalents) vest in equal one-third amounts on October 19, 2016, 2017 and 2018.