SEC FORM
3
SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/01/2023
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3. Issuer Name and Ticker or Trading Symbol
TEXAS INSTRUMENTS INC
[ TXN ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
No securities are beneficially owned. |
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/s/ Leslie Mba, Attorney in Fact |
04/05/2023 |
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** 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
5
(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. |
AUTHORIZATION
I hereby authorize Cynthia Hoff Trochu, Leslie O. Mba,
Elizabeth M. Bedell, Edgar A. Morales, Erin E. Hilton and
John Whitney or any one of them to sign and file on my
behalf any and all forms required by the Securities and
Exchange Commission pursuant to Section 16 of the Securities
Exchange Act of 1934 (the ?Exchange Act?) relating to the
reporting of beneficial ownership of equity securities of
Texas Instruments Incorporated (the ?Company?), and of
changes in such beneficial ownership, as well as any and
all representation letters that may be required in
connection with sales by me of equity securities of the
Company, together with any and all amendments to the
foregoing. This authorization shall be effective on and
after the date set forth below and shall continue in
effect, unless earlier revoked by me in writing, until
I am no longer required to file such forms and letters
provided, however, that this authorization shall be
deemed revoked with respect to any individual named
above upon such individual?s termination of active service
with the Company.
I acknowledge that the persons authorized hereunder
are not assuming, nor is the Company assuming, any of my
responsibilities to comply with Section 16 of the
Exchange Act and other relevant securities laws.
Dated as of 27 day of February 2023.