0001730168-24-000103.txt : 20240923 0001730168-24-000103.hdr.sgml : 20240923 20240923170225 ACCESSION NUMBER: 0001730168-24-000103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240919 FILED AS OF DATE: 20240923 DATE AS OF CHANGE: 20240923 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kawwas Charlie B CENTRAL INDEX KEY: 0001608425 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 241316811 MAIL ADDRESS: STREET 1: C/O AVAGO TECHNOLOGIES U.S. INC. STREET 2: 350 WEST TRIMBLE ROAD CITY: SAN JOSE STATE: CA ZIP: 95131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Broadcom Inc. CENTRAL INDEX KEY: 0001730168 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 352617337 FISCAL YEAR END: 1103 BUSINESS ADDRESS: STREET 1: 3421 HILLVIEW AVENUE CITY: PALO ALTO STATE: CA ZIP: 94304 BUSINESS PHONE: 650-427-6000 MAIL ADDRESS: STREET 1: 3421 HILLVIEW AVENUE CITY: PALO ALTO STATE: CA ZIP: 94304 FORMER COMPANY: FORMER CONFORMED NAME: Broadcom Ltd DATE OF NAME CHANGE: 20180201 4 1 wk-form4_1727125339.xml FORM 4 X0508 4 2024-09-19 0 0001730168 Broadcom Inc. AVGO 0001608425 Kawwas Charlie B C/O BROADCOM INC. 3421 HILLVIEW AVENUE PALO ALTO CA 94304 0 1 0 0 President, Semi Solutions Grp 0 Common Stock, $0.001 par value 2024-09-19 4 S 0 25200 168.274 D 753280 I By Trust Common Stock, $0.001 par value 82990 D Common Stock, $0.001 par value 550 I By Child 1 Common Stock, $0.001 par value 550 I By Child 2 Common Stock, $0.001 par value 550 I By Child 3 Common Stock, $0.001 par value 550 I By spouse as custodian for Child 4 Transaction executed in multiple trades at prices ranging from $168.24 to $168.38 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. Adjusted to reflect a ten-for-one forward split of the Issuer's common stock effective after market close on July 12, 2024. Adjusted to reflect a ten-for-one forward split of the Issuer's common stock effective after market close on July 12, 2024 and includes 75,000 restricted stock units. /s/ Noelle Matteson, Attorney-in-Fact for Charlie B Kawwas 2024-09-23