Filing Details

Accession Number:
0001104659-20-107002
Form Type:
4
Zero Holdings:
No
Publication Time:
2020-09-21 16:33:52
Reporting Period:
2020-09-18
Accepted Time:
2020-09-21 16:33:52
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1730168 Broadcom Inc. AVGO () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1201633 Henry Samueli C/o Broadcom Inc.
1320 Ridder Park Drive
San Jose CA 95131
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $0.001K Acquisiton 2020-09-18 38,850 $0.00 4,628,084 No 5 G Indirect See Footnote
Common Stock. $0.001 Par Value Acquisiton 2020-09-18 131,062 $0.00 1,227,203 No 5 G Indirect See Footnote
Common Stock, $0.001 Par Value Acquisiton 2020-09-18 101,740 $361.45 2,832,299 No 4 P Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 G Indirect See Footnote
No 5 G Indirect See Footnote
No 4 P Indirect See Footnote
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, $0.001 Par Value 262,582 Direct
Common Stock, $0.001 Par Value 0 Indirect See Footnote
Common Stock, $0.001 Par Value 0 Indirect See Footnote
Common Stock, $0.001 Par Value 459,690 Indirect See Footnote
Common Stock, $0.001 Par Value 61,213 Indirect See Footnote
Footnotes
  1. Includes 2,641 restricted stock units.
  2. Directly held by D95GT LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  3. Directly held by E95GT LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  4. Reflects change in form of beneficial ownership for no consideration in transaction exempt from Section 16 pursuant to Rule 16a-13 under the Securities Exchange Act of 1934.
  5. Directly held by HS Portfolio L.P. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  6. Directly held by HS Management, L.P. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  7. Directly held by H&S Investments I L.P. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  8. Directly held by H & S Portfolio II L.P. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  9. Directly held by H & S Ventures LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.