FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/06/2014 |
3. Issuer Name and Ticker or Trading Symbol
Avago Technologies LTD [ AVGO ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Ordinary Shares | 34,586(1) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | (2) | 03/01/2019 | Ordinary Shares | 7,760 | $48.18 | D | |
Stock Option (Right to Buy) | (3) | 03/01/2020 | Ordinary Shares | 11,006 | $38.92 | D | |
Stock Option (Right to Buy) | (4) | 03/01/2021 | Ordinary Shares | 11,326 | $62.63 | D |
Explanation of Responses: |
1. Represents restricted share units ("RSUs") granted pursuant to the LSI Corporation ("LSI") 2003 Equity Incentive Award Plan, assumed by Avago Technologies Limited (the "Company") upon the closing of its acquisition of LSI on May 6, 2014 (the "Plan"). The Reporting Person is entitled to receive one (1) ordinary share for each one (1) RSU subject to the Reporting Person's continuing service on each vesting date. |
2. Option to purchase ordinary shares of the Company, granted pursuant to the Plan. The option vests over 2 years, with 50% vesting on March 1, 2015 and 50% vesting on March 1, 2016, subject to the Reporting Person's continuing service on each vesting date. |
3. Option to purchase ordinary shares of the Company, granted pursuant to the Plan. The option vests over 3 years, with one-third vesting on March 1 of each of 2015, 2016, 2017, subject to the Reporting Person's continuing service on each vesting date. |
4. Option to purchase ordinary shares of the Company, granted pursuant to the Plan. The option vests over 4 years, with one-fourth vesting on March 1 of each of 2015, 2016, 2017, 2018, subject to the Reporting Person's continuing service on each vesting date. |
Remarks: |
/s/ Patricia McCall, Attorney-in-Fact for Charlie B Kawwas | 05/16/2014 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |