SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
CATHEY JAMES J

(Last) (First) (Middle)
5775 MOREHOUSE DR.

(Street)
SAN DIEGO CA 92121-1714

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
QUALCOMM INC/DE [ QCOM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Commercial Officer
3. Date of Earliest Transaction (Month/Day/Year)
05/20/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Rule 10b5-1(c) Transaction Indication

  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 05/20/2023 M 1,300 A $0.0 4,016 D
Common Stock 05/20/2023 M 1,574 A $0.0 5,590 D
Common Stock 05/20/2023 M 1,827 A $0.0 7,417 D
Common Stock 05/20/2023 M 2,742 A $0.0 10,159 D
Common Stock 05/20/2023 F 2,467 D $105.86 7,692(1) 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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Restricted Stock Unit (2) 05/20/2023 M 1,300.1395 (3) 11/20/2023(3) Common Stock 1,300.1395 $0.0 1,283.6261 D
Restricted Stock Unit (2) 05/20/2023 M 1,574.8093 (4) 11/20/2024(4) Common Stock 1,574.8093 $0.0 4,687.505 D
Restricted Stock Unit (2) 05/20/2023 M 1,827.5958 (5) 05/20/2025(5) Common Stock 1,827.5958 $0.0 12,951.0222 D
Restricted Stock Unit (2) 05/20/2023 M 2,742.9312 (5) 05/20/2025(5) Common Stock 2,742.9312 $0.0 10,208.091 D
Explanation of Responses:
1. Includes 52 shares acquired under the Company's Employee Stock Purchase Plan on January 31, 2023.
2. Each Restricted Stock Unit is the economic equivalent of one share of Qualcomm common stock and converts on a one-for-one basis.
3. The Restricted Stock Units (and allocable dividend equivalents) vested one-third on November 20, 2021, and the remaining balance vests semi-annually thereafter.
4. The Restricted Stock Units (and allocable dividend equivalents) vested one-third on November 20, 2022, and the remaining balance vests semi-annually thereafter.
5. Because the recipient has met the other conditions for Normal Retirement Age (as defined in the applicable Executive Restricted Stock Unit Award Agreement), these Restricted Stock Units were fully vested on the date that is six months after the grant date. The vested Restricted Stock Units (and allocable dividend equivalents) will be converted and shares issued in three equal annual installments on May 20, 2023, 2024 and 2025.
By: Jon Russo, Attorney-in-Fact For: James J. Cathey 05/22/2023
** Signature of Reporting Person Date
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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.