0001730168-18-000059.txt : 20181207 0001730168-18-000059.hdr.sgml : 20181207 20181207193518 ACCESSION NUMBER: 0001730168-18-000059 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181204 FILED AS OF DATE: 20181207 DATE AS OF CHANGE: 20181207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Spears Kirsten M. CENTRAL INDEX KEY: 0001670725 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38449 FILM NUMBER: 181224615 MAIL ADDRESS: STREET 1: 1320 RIDDER PARK 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] 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_154422930230295.xml FORM 4 X0306 4 2018-12-04 0 0001730168 Broadcom Inc. AVGO 0001670725 Spears Kirsten M. C/O BROADCOM INC. 1320 RIDDER PARK DRIVE SAN JOSE CA 95131 0 1 0 0 Principal Accounting Officer Common Stock, $0.001 par value 2018-12-04 4 A 0 25000 0 A 49461 D Award approved on December 4, 2018 with an effective grant date of January 15, 2019. Award of Restricted Stock Units ("RSUs") granted pursuant to the Avago Technologies Limited 2009 Equity Incentive Award Plan. Upon vesting thereof, the Reporting Person is entitled to one (1) share of common stock for each one (1) RSU. This award consists of four grants, each for 6,250 RSUs, and is intended to approximate four consecutive annual equity grants with successive four-year vesting periods. 25% of the shares underlying each grant vests on each annual anniversary of the vesting commencement date applicable to such grant. The four grants have successive vesting commencement dates of March 15, 2019, March 15, 2020, March 15, 2021 and March 15, 2022, such that the fourth grant under the award will not vest in full on until March 15, 2026, subject to continued service with the Issuer. Includes 46,625 RSUs. /s/ Noelle Matteson, Attorney-in-Fact for Kirsten M. Spears 2018-12-07