Qualcomm 2012 Annual Report Download - page 185

QUALCOMM Incorporated
2006 Long-Term Incentive Plan
Performance Stock Unit Grant Notice
QUALCOMM Incorporated (the “Company”), pursuant to its 2006 Long-Term Incentive Plan (the “Plan”)
hereby
grants to the Participant named below the number of Performance Stock Units set forth below, each of which is a
bookkeeping entry representing the equivalent in value of one (1) share of the Company's common stock. The
Performance Stock Unit Award is subject to all of the terms and conditions as set forth herein and the Employee
Performance Stock Unit Agreement (attached hereto) and the Plan 1 , which are incorporated herein in their entirety.
Vesting Date: Except as otherwise provided in the Plan or the Employee Performance Stock Unit Agreement, this
Performance Stock Unit Award will vest on October 31, 2013, so long as your Service (as defined in the Plan) is
continuous from the date of grant through that date.
Additional Terms/Acknowledgments:
The Participant acknowledges (in the form determined by the Company) receipt
of, and represents that the Participant has read, understands, accepts and agrees to the terms and conditions of, the
following: this Grant Notice, the Employee Performance Stock Unit Agreement and the Plan (including, but not limited
to, the binding arbitration provision in Section 3.7 of the Plan). Participant hereby accepts this Performance Stock Unit
Award subject to all of the terms, conditions and procedures established by the Company with respect to the
Performance Stock Units.
_____________________________
1
A copy of the Plan can be obtained from the Stock Administration website, located on the Company's internal webpage, or you may request a hard
copy from the Stock Administration Department.
Participant: «First_Name» «Last_Name» Grant No.: «Number»
Emp #: «ID» Number of Performance Stock Units :
«Shares_Granted»
Date of Grant: «Grant_Date»
Performance Periods:
First Performance Period: November 1, 2010 - April 30, 2012
Second Performance Period: November 1, 2010 - October 31, 2012
Third Performance Period: November 1, 2010 - April 30, 2013
Fourth Performance Period: November 1, 2010 - October 31, 2013
QUALCOMM Incorporated:
By: /s/ Dr. Paul E. Jacobs
Chairman of the Board and
Chief Executive Officer
Dated: «Grant_Date»
Attachment: Employee Performance Stock Unit Agreement (PSU A1)