Broadcom Inc. — Director's Dealing 2020

Sep 21, 2020

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Broadcom Inc. (AVGO)
CIK: 0001730168
Period of Report: 2020-09-18

Reporting Person: SAMUELI HENRY (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2020-09-18	Common Stock, par value $0.001k	G	38850	—	Acquired	4628084	Indirect
2020-09-18	Common Stock. $0.001 par value	G	131062	—	Acquired	1227203	Indirect
2020-09-18	Common Stock, $0.001 par value	P	101740	$361.45	Acquired	2832299	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock, $0.001 par value	262582	Direct
Common Stock, $0.001 par value	0	Indirect
Common Stock, $0.001 par value	0	Indirect
Common Stock, $0.001 par value	459690	Indirect
Common Stock, $0.001 par value	61213	Indirect

Footnotes

F1: Includes 2,641 restricted stock units.

F2: Directly held by D95GT LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F3: Directly held by E95GT LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F4: Reflects change in form of beneficial ownership for no consideration in transaction exempt from Section 16 pursuant to Rule 16a-13 under the Securities Exchange Act of 1934.

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 Investments I 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 Portfolio II L.P. 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.