SEC Form 4 · accession 0001234452-16-000560

QUALCOMM INC/DE · QCOM

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

Reporting owner

Officer — Chief Executive Officer · Director

Period of report

Nov 9, 2016

Accepted (ET)

Nov 10, 2016 · 6:32 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 9, 2016	M	13,838	$0.00	A	248,639	I	by Trust
Common Stock^F1	Nov 9, 2016	M	15,601	$0.00	A	264,240	I	by Trust
Common Stock^F2,F1	Nov 9, 2016	F	13,271	$67.88	D	250,969	I	by Trust

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Performance Stock Unit^F3,F4	—	Nov 9, 2016	M	13,839	D	—	Nov 9, 2016	Common Stock	13,839	0	D
Restricted Stock Unit^F5,F6	—	Nov 9, 2016	M	15,601	D	—	Nov 9, 2016	Common Stock	15,601	0	D

F1Securities held by Steven M. Mollenkopf & Susan T. Mollenkopf as Trustees of the Mollenkopf Family Trust UAD June 22, 2001.
F2Includes 194 shares and 271 shares acquired under the Company's Employee Stock Purchase Plan on January 31, 2016 and July 31, 2016, respectively.
F3Each Performance Stock Unit is the economic equivalent of one share of Qualcomm common stock and is converted into common stock upon vesting.
F4The Performance Stock Units (and allocable dividend equivalents) vest in equal one-third amounts on November 9, 2014, 2015 and 2016.
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 9, 2014, 2015 and 2016.