Sec Form 4/A Filing - SAMUELI HENRY @ Broadcom Ltd - 2016-02-01

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FORM 4/A
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 Ltd [ AVGO]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Technical Officer
(Last) (First) (Middle)
C/O AVAGO TECHNOLOGIES US INC., 1320 RIDDER PARK DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
02/01/2016
(Street)
SAN JOSE, CA95131
4. If Amendment, Date Original Filed (MM/DD/YY)
02/03/2016
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
Ordinary Shares, no par value ( 1 ) ( 2 ) 02/01/2016 A 3,130 ( 3 ) A $ 0 3,130 D
Ordinary Shares, no par value ( 1 ) ( 2 ) 02/01/2016 A 22,947 ( 4 ) A $ 0 26,077 D
Ordinary Shares, no par value ( 1 ) ( 2 ) 02/01/2016 A 52,235 ( 5 ) A $ 0 78,312 D
Ordinary Shares, no par value ( 1 ) ( 2 ) 02/01/2016 A 79,755 ( 6 ) A $ 0 158,067 D
Ordinary Shares, no par value ( 1 ) ( 2 ) 02/01/2016 A 66,980 ( 7 ) A $ 0 225,047 D
Ordinary Shares, no par value ( 1 ) ( 2 ) 02/01/2016 A 7,323 ( 8 ) A $ 0 232,370 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
C/O AVAGO TECHNOLOGIES US INC.
1320 RIDDER PARK DRIVE
SAN JOSE, CA95131
X Chief Technical Officer
Signatures
/s/ Patricia McCall, Attorney-in-Fact for Henry Samueli 02/18/2016
Signature of Reporting Person Date
Explanation of Responses:
( 1 )This amendment is being filed solely to report Restricted Stock Unit Awards ("RSUs") assumed by the Issuer in connection with the transactions consummated on February 1, 2016 pursuant to the terms of an Agreement and Plan of Merger, dated as of May 28, 2015, by and among the Issuer, Avago Technologies Limited ("Avago"), Broadcom Corporation ("Broadcom"), Broadcom Cayman L.P. (f/k/a Safari Cayman L.P.), Avago Technologies Cayman Holdings Ltd., Avago Technologies Cayman Finance Limited, Buffalo CS Merger Sub, Inc. ("CS Merger Sub") and Buffalo UT Merger Sub, Inc. ("UT Merger Sub," and, together with CS Merger Sub, the "Merger Subs"), pursuant to which (continued in Footnote 2)
( 2 )(a) the Issuer indirectly acquired Avago pursuant to the terms of a scheme of arrangement under Singapore law consummated in accordance with Section 210 of the Companies Act (Chapter 50) of Singapore, and (b) the Merger Subs merged with and into Broadcom, with Broadcom as the surviving corporation in such mergers of the Issuer, which were inadvertently omitted from the Reporting Person's Form 4 filing on February 3, 2016 (the "Original Form 4"). All other information contained in the Original Form 4 was correct and complete.
( 3 )Upon vesting of the RSUs, the Reporting Person is entitled to receive one (1) ordinary share for each one (1) RSU. The RSUs vest in equal quarterly installments such that the RSU vests in full on February 5, 2016, subject to the Reporting Person's continuing service on each of the vesting dates.
( 4 )Upon vesting of the RSUs, the Reporting Person is entitled to receive one (1) ordinary share for each one (1) RSU. The RSUs vest in equal quarterly installment such that the RSU vests in full on February 5, 2017, subject to the Reporting Person's continuing service on each of the vesting dates.
( 5 )Upon vesting of the RSUs, the Reporting Person is entitled to receive one (1) ordinary share for each one (1) RSU. The RSUs vest in equal quarterly installment such that the RSU vests in full on February 5, 2018, subject to the Reporting Person's continuing service on each of the vesting dates.
( 6 )Upon vesting of the RSUs, the Reporting Person is entitled to receive one (1) ordinary share for each one (1) RSU. The RSUs vest in equal quarterly installment such that the RSU vests in full on February 5, 2019, subject to the Reporting Person's continuing service on each of the vesting dates.
( 7 )Upon vesting of the RSUs, the Reporting Person is entitled to receive one (1) ordinary share for each one (1) RSU. The RSUs vest in equal quarterly installment such that the RSU vests in full on February 5, 2020, subject to the Reporting Person's continuing service on each of the vesting dates.
( 8 )Upon vesting of the RSUs, the Reporting Person is entitled to receive one (1) ordinary share for each one (1) RSU. The RSUs vest in equal quarterly installment such that the RSU vests in full on February 5, 2021, subject to the Reporting Person's continuing service on each of the vesting dates.

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