Form Type: 4

SEC EDGAR Link
Accession Number:0001730168-21-000159
Date:2021-12-15
Issuer: BROADCOM INC. (AVGO)
Original Submission Date:

Reporting Person:

KRAUSE THOMAS H.
C/O BROADCOM INC.
1320 RIDDER PARK DRIVE SAN JOSE, CA 95131

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK, $0.001 PAR VALUE 2021-12-15 F 3,585 d $639.86 50,105 direct
COMMON STOCK, $0.001 PAR VALUE 2021-12-16 S 3,645 d $632.84 46,460 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 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") previously granted to the reporting person.
f2 includes 46,460 rsus.
f3 represents 46,460 rsus.
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