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