SEC Form 4 · accession 0001110803-15-000012
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David R Walt
Director
Period of report
Jan 6, 2015
Accepted (ET)
Jan 8, 2015 · 6:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001110803
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 6, 2015 | M | 4,000 | $6.225 | A | 860,930 | D | |
| Common StockF1,F2 | Jan 6, 2015 | S | 1,100 | $186.5695 | D | 859,830 | D | |
| Common StockF1,F3 | Jan 6, 2015 | S | 1,100 | $187.8668 | D | 858,730 | D | |
| Common StockF1,F4 | Jan 6, 2015 | S | 700 | $189.0786 | D | 858,030 | D | |
| Common StockF1,F5 | Jan 6, 2015 | S | 600 | $190.3333 | D | 857,430 | D | |
| Common StockF1,F6 | Jan 6, 2015 | S | 500 | $191.61 | D | 856,930 | D | |
| Common StockF1,F7 | Jan 6, 2015 | S | 500 | $186.574 | D | 78,460 | I | By Spouse |
| Common StockF1,F8 | Jan 6, 2015 | S | 500 | $187.7205 | D | 77,960 | I | By Spouse |
| Common StockF1,F9 | Jan 6, 2015 | S | 400 | $188.8763 | D | 77,560 | I | By Spouse |
| Common StockF1,F10 | Jan 6, 2015 | S | 300 | $189.90 | D | 77,260 | I | By Spouse |
| Common StockF1,F11 | Jan 6, 2015 | S | 150 | $190.84 | D | 77,110 | I | By Spouse |
| Common StockF1,F12 | Jan 6, 2015 | S | 150 | $191.58 | D | 76,960 | I | By Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F1 | $6.225 | Jan 6, 2015 | M | 4,000 | D | Jun 7, 2006 | Jun 28, 2015 | Common Stock | 4,000 | 12,000 | D |
Explanation of responses
- F1The transaction was made pursuant to a 10b5-1 plan.
- F10Weighted average sale price representing 300 shares sold ranging from $189.47 to $190.33 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F11Weighted average sale price representing 150 shares sold ranging from $190.51 to $191.50 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F12Weighted average sale price representing 150 shares sold ranging from $191.52 to $191.61 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F2Weighted average sale price representing 1,100 shares sold ranging from $186.31 to $186.88 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F3Weighted average sale price representing 1,100 shares sold ranging from $187.42 to $188.38 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F4Weighted average sale price representing 700 shares sold ranging from $188.75 to $189.48 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F5Weighted average sale price representing 600 shares sold ranging from $189.81 to $190.66 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F6Weighted average sale price representing 500 shares sold ranging from $191.35 to $192.17 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F7Weighted average sale price representing 500 shares sold ranging from $186.28 to $186.88 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F8Weighted average sale price representing 500 shares sold ranging from $187.415 to $187.90 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.
- F9Weighted average sale price representing 400 shares sold ranging from $188.425 to $189.29 per share. Number of shares sold at each separate price will be made available to the SEC staff, the issuer, or a security holder of the issuer upon request.