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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.