0001730168-24-000027.txt : 20240319
0001730168-24-000027.hdr.sgml : 20240319
20240319183952
ACCESSION NUMBER: 0001730168-24-000027
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240315
FILED AS OF DATE: 20240319
DATE AS OF CHANGE: 20240319
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brazeal Mark David
CENTRAL INDEX KEY: 0001627720
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38449
FILM NUMBER: 24765576
MAIL ADDRESS:
STREET 1: 1320 RIDDER PARK DRIVE
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_1710887966.xml
FORM 4
X0508
4
2024-03-15
0
0001730168
Broadcom Inc.
AVGO
0001627720
Brazeal Mark David
C/O BROADCOM INC.
3421 HILLVIEW AVENUE
PALO ALTO
CA
94304
0
1
0
0
Chief Legal & Corp Affairs Ofc
0
Common Stock, $0.001 par value
2024-03-15
4
A
0
10000
0
A
62393
D
Common Stock, $0.001 par value
2024-03-15
4
F
0
10419
1235.50
D
51974
D
Award of Restricted Stock Units ("RSUs") granted pursuant to the Broadcom Inc. 2012 Stock Incentive Plan, as amended and restated. Upon vesting thereof, the Reporting Person is entitled to one (1) share of common stock for each one (1) RSU. The RSUs vest as to 25% of the shares subject thereto on each anniversary of March 15, 2024, subject to continued service with the Issuer.
Includes 30,375 RSUs.
/s/ Noelle Matteson, Attorney-in-Fact for Mark Brazeal
2024-03-19