0001730168-22-000126.txt : 20221219 0001730168-22-000126.hdr.sgml : 20221219 20221219171712 ACCESSION NUMBER: 0001730168-22-000126 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221215 FILED AS OF DATE: 20221219 DATE AS OF CHANGE: 20221219 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: 221472039 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: 352617337 FISCAL YEAR END: 1030 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_167148820872960.xml FORM 4 X0306 4 2022-12-15 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 CFO & Chief Accounting Officer Common Stock, $0.001 par value 2022-12-15 4 F 0 3224 558 D 31345 D Consists of shares withheld by the Issuer to satisfy the tax withholding obligations of the Reporting Person upon the vesting of the relevant restricted stock units ("RSUs"), including performance stock units awards, previously granted to the Reporting Person. Includes 22,123 RSUs and 23 shares acquired under the Issuer's Employee Stock Purchase Plan on September 14, 2022. /s/ Noelle Matteson, Attorney-in-Fact for Kirsten M. Spears 2022-12-19