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Broadcom Inc. Director's Dealing 2021

Mar 17, 2021

29739_dirs_2021-03-17_695aac9d-4848-45a6-b11e-48740cc25b30.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: 2021-03-15

Reporting Person: SAMUELI HENRY (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2021-03-15 Common Stock, $0.001 par value A 3625 Acquired 266707 Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock, $0.001 par value 4444484 Indirect
Common Stock, $0.001 par value 1227203 Indirect
Common Stock, $0.001 par value 2893512 Indirect
Common Stock, $0.001 par value 459690 Indirect

Footnotes

F1: On March 15, 2021, the Compensation Committee of the Issuer determined the achievement of certain performance criteria, based on the Issuer's compound annual total stockholder return relative to the S&P 500 Index, and the number of restricted stock units ("RSUs") that vests with respect to the fourth and final performance period pursuant to the terms of a performance stock unit award granted on March 15, 2017 under the Broadcom Corporation 2012 Stock Incentive Plan. The RSUs are subject to time-based vesting conditions and fully vested on March 15, 2021, subject to the Reporting Person's continued service through such date. The Reporting Person is entitled to one (1) share of common stock of the Issuer for each one (1) RSU.

F2: Includes 500 RSUs.

F3: Directly held by D95GT LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F4: Directly held by E95GT LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

F5: 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.

F6: 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.