Sec Form 4 Filing - Kawwas Charlie B @ Broadcom Inc. - 2022-10-31

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Kawwas Charlie B
2. Issuer Name and Ticker or Trading Symbol
Broadcom Inc. [ AVGO]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President, Semi Solutions Grp
(Last) (First) (Middle)
C/O BROADCOM INC., 1320 RIDDER PARK DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
10/31/2022
(Street)
SAN JOSE, CA95131
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, $0.001 par value 74,436( 1 ) D
Common Stock, $0.001 par value 55 I By Child 1
Common Stock, $0.001 par value 55 I By Child 2
Common Stock, $0.001 par value 55 I By spouse as custodian for Child 3
Common Stock, $0.001 par value 55 I By spouse as custodian for Child 4
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Price Performance Stock Unit $ 0 10/31/2022 A 300,000 ( 2 ) ( 3 ) Common Stock, $0.001 par value 300,000 $ 0 300,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Kawwas Charlie B
C/O BROADCOM INC.
1320 RIDDER PARK DRIVE
SAN JOSE, CA95131
President, Semi Solutions Grp
Signatures
/s/ Noelle Matteson, Attorney-In-Fact for Charlie B Kawwas 11/02/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 36,960 restricted stock units.
( 2 )Stock price performance stock unit award (the "PSU") granted pursuant to the Broadcom Inc. 2012 Stock Incentive Plan. Subject to the terms and conditions of the PSU agreement, the PSU vests on October 31, 2027. The number of shares that may be earned is based on achieving pre-set price hurdles (the "Price Contingency"). No portion of the PSU will be earned unless the consecutive 20-trading days closing price average of the Issuer's common stock meets or exceeds the Price Contingency during the period beginning after the third anniversary of the grant date and concluding on the fifth anniversary of the grant date.
( 3 )If the Price Contingency is not met on or prior to the fifth anniversary of the grant date or such earlier date as provided in the PSU agreement, all PSUs will immediately be forfeited.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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