Sec Form 4 Filing - SAMUELI HENRY @ BROADCOM CORP - 2016-01-08

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
SAMUELI HENRY
2. Issuer Name and Ticker or Trading Symbol
BROADCOM CORP [ BRCM]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chairman of the Board & CTO
(Last) (First) (Middle)
5300 CALIFORNIA AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
01/08/2016
(Street)
IRVINE, CA92617
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
Class A common stock ( 1 ) 01/08/2016( 2 ) A 98,212 A $ 0 ( 3 ) 653,505 ( 4 ) D
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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
SAMUELI HENRY
5300 CALIFORNIA AVENUE
IRVINE, CA92617
X Chairman of the Board & CTO
Signatures
/s/ Henry Samueli, Ph.D. 01/11/2016
Signature of Reporting Person Date
Explanation of Responses:
( 1 )These securities awarded on 01/08/2016 are in the form of restricted stock units ("RSUs") that will entitle the Reporting Person to receive one share of the Issuer's Class A common stock per RSU. The RSUs will vest, and the underlying shares will be concurrently issued in a series of sixteen quarterly installments upon the Reporting Person's completion of each three month period of service over the period measured from 02/05/2016 through 02/05/2020.
( 2 )On 01/08/2016 the compensation committee of the board of directors of the Issuer determined (i) the level of performance achieved for the 2015 performance cycle under the Issuer's Restricted Stock Units Incentive Award Program; and (ii) that the award covering 98,212 restricted stock units related to the 2015 performance cycle will be awarded on 01/25/2016.
( 3 )These securities were awarded in an exempt transaction pursuant to SEC Rule 16b-3(d).
( 4 )Includes (i) 122,544 shares that are held as Class A common stock and (ii) 530,961 shares in the form of restricted stock units that will entitle the Reporting Person to receive one share of Class A common stock per restricted stock unit.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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