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Broadcom Inc. Director's Dealing 2018

Apr 6, 2018

29739_dirs_2018-04-06_082656b8-457f-46f3-b8d0-4ffae6ed981a.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Broadcom Inc. (AVGO)
CIK: 0001730168
Period of Report: 2018-04-04

Reporting Person: SAMUELI HENRY (Director, Chief Technical Officer)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2018-04-04 Common Stock, $0.001 par value J 53649 $0.00 Acquired 254338 Direct
2018-04-04 Common Stock, $0.001 par value J 40058 $0.00 Acquired 40058 Indirect
2018-04-04 Common Stock, $0.001 par value J 40058 $0.00 Acquired 40058 Indirect
2018-04-04 Common Stock, $0.001 par value J 5752978 $0.00 Acquired 5752978 Indirect
2018-04-04 Common Stock, $0.001 par value J 399918 $0.00 Acquired 399918 Indirect
2018-04-04 Common Stock, $0.001 par value J 459690 $0.00 Acquired 459690 Indirect
2018-04-04 Common Stock, $0.001 par value J 2766772 $0.00 Acquired 2766772 Indirect
2018-04-04 Common Stock, $0.001 par value J 1860 $0.00 Acquired 1860 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2018-04-04 Exchangeable Units $ J 53649 Disposed Common Stock (53649) Direct
2018-04-04 Exchangeable Units $ J 40058 Disposed Common Stock (40058) Indirect
2018-04-04 Exchangeable Units $ J 40058 Disposed Common Stock (40058) Indirect
2018-04-04 Exchangeable Units $ J 5752978 Disposed Common Stock (5752978) Indirect
2018-04-04 Exchangeable Units $ J 399918 Disposed Common Stock (399918) Indirect
2018-04-04 Exchangeable Units $ J 459690 Disposed Common Stock (459690) Indirect
2018-04-04 Exchangeable Units $ J 2766772 Disposed Common Stock (2766772) Indirect
2018-04-04 Exchangeable Units $ J 1860 Disposed Common Stock (1860) Indirect

Footnotes

F1: In connection with the Redomiciliation (as defined in "Remarks" below), each exchangeable partnership unit of Broadcom Cayman L.P. (the "Exchangeable Unit"), an exempted limited partnership registered in the Cayman Islands of which Broadcom Limited was the general partner ("Broadcom Cayman L.P.") was converted on a one-for-one basis into a newly issued shares of common stock of Broadcom Inc.

F2: Includes 73,496 restricted stock units.

F3: Indirectly held by Henry Samueli 2016 GRAT, a trust for which the Reporting Person is trustee, through ownership of membership interests in HS REU, LLC, the direct holder of the common stock. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F4: Indirectly held by Susan Faye Samueli 2016 GRAT, a trust for which the Reporting Person's spouse is trustee, through ownership of membership interests in SFS REU, LLC, the direct holder of the common stock. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F5: Directly held by HS Portfolio L.P. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F6: Directly held by HS Management, L.P. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F7: Directly held by H&S Portfolio II L.P. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F8: Directly held by H&S Investments I L.P. and through its ownership of membership interests in HS REU, LLC and SFS REU, LLC, direct holders of certain shares of common stock. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F9: Directly held by H&S Ventures LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.