0001730168-21-000129.txt : 20210914 0001730168-21-000129.hdr.sgml : 20210914 20210914170936 ACCESSION NUMBER: 0001730168-21-000129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210910 FILED AS OF DATE: 20210914 DATE AS OF CHANGE: 20210914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HARTENSTEIN EDDY W CENTRAL INDEX KEY: 0001142524 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 211253126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Broadcom Inc. CENTRAL INDEX KEY: 0001730168 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 1320 RIDDER PARK DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 BUSINESS PHONE: 408-433-8000 MAIL ADDRESS: STREET 1: 1320 RIDDER PARK DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 FORMER COMPANY: FORMER CONFORMED NAME: Broadcom Ltd DATE OF NAME CHANGE: 20180201 4 1 wf-form4_163165375919206.xml FORM 4 X0306 4 2021-09-10 0 0001730168 Broadcom Inc. AVGO 0001142524 HARTENSTEIN EDDY W C/O BROADCOM INC. 1320 RIDDER PARK DRIVE SAN JOSE CA 95131 1 0 0 0 Common Stock, $0.001 par value 2021-09-10 4 S 0 1111 496.962 D 21781 I See Footnote Common Stock, $0.001 par value 2021-09-10 4 S 0 495 498.27 D 21286 I See Footnote Common Stock, $0.001 par value 2021-09-10 4 S 0 805 499.075 D 20481 I See Footnote Common Stock, $0.001 par value 2021-09-10 4 S 0 2400 500.314 D 18081 I See Footnote Common Stock, $0.001 par value 476 D Transaction executed in multiple trades at prices ranging from $496.68 to $497.54 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote. Shares held by the Hartenstein family trust, for which the Reporting Person serves as trustee. Transaction executed in multiple trades at prices ranging from $497.78 to $498.74 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote. Transaction executed in multiple trades at prices ranging from $498.78 to $499.56 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote. Transaction executed in multiple trades at prices ranging from $499.81 to $500.67 per share, inclusive. The price reported in column 4 above reflects the weighted average sale price per share. The Reporting Person hereby undertakes to provide the SEC staff, the Issuer or a security holder of the Issuer, upon request, full information regarding the number of shares sold at each respective price within the range set forth in this footnote. Represents 476 restricted stock units. /s/ Noelle Matteson, Attorney-in-Fact for Eddy W. Hartenstein 2021-09-14