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*
THOMPSON JAMES H

(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)
EVP, Engineering & CTO
3. Date of Earliest Transaction (Month/Day/Year)
08/10/2018
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
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 08/02/2018 G V 1,314 D $0.0 97,967 D
Common Stock 08/09/2018 G V 90 D $0.0 97,877 D
Common Stock 08/10/2018 J(1) 45,453 D (1) 52,424(2) D
Common Stock 08/10/2018 J(3) 45,453 D (3) 6,971 D
Common Stock 08/02/2018 G V 1,314 A $0.0 4,449 I Childrens' Trust(4)
Common Stock 08/09/2018 G V 90 A $0.0 4,539 I Childrens' Trust(4)
Common Stock 08/10/2018 J(1) 45,453 A (1) 45,453 I by Spouse
Common Stock 08/10/2018 J(5) 45,453 D (5) 0 I by Spouse
Common Stock 08/10/2018 J(5) 45,453 A (5) 45,453 I by Spouse's Trust(6)
Common Stock 08/10/2018 J(3) 45,453 A (3) 45,453 I by Trust(6)
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
Explanation of Responses:
1. Dr. Thompson and his wife transmuted their community property interest in 90,906 shares to 45,453 shares as the separate property of Dr. Thompson and 45,453 shares as the separate property of his wife.
2. Includes 187 shares acquired under the Company's Employee Stock Purchase Plan on July 31, 2018.
3. In connection with an estate tax planning transaction, Dr. Thompson transferred 45,453 shares to a grantor trust which issued an unsecured promissory note to Dr. Thompson. Dr. Thompson, his spouse and children are the beneficiaries of the grantor trust.
4. Shares are held in individual trusts for the benefit of Dr. Thompson's children. Dr. Thompson disclaims all beneficial ownership for the shares held in trusts for the benefit of his children.
5. In connection with an estate planning transaction, Dr. Thompson's spouse transferred 45,453 shares to a separate grantor trust which issued an unsecured promissory note to the spouse. Dr. Thompson, his spouse and their children are beneficiaries of the grantor trust.
6. Securities held by Premier Trust, as trustee.
By: David Zuckerman, Attorney For: James H. Thompson 08/23/2018
** 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.
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