SEC Form 4 · accession 0001110803-15-000017
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David R Walt
Director
Period of report
Jan 13, 2015
Accepted (ET)
Jan 15, 2015 · 7:42 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 13, 2015 | M | 4,000 | $6.225 | A | 860,930 | D | |
| Common StockF1,F2 | Jan 13, 2015 | S | 500 | $183.0992 | D | 860,430 | D | |
| Common StockF1,F3 | Jan 13, 2015 | S | 600 | $184.0758 | D | 859,830 | D | |
| Common StockF1,F4 | Jan 13, 2015 | S | 300 | $184.89 | D | 859,530 | D | |
| Common StockF1,F5 | Jan 13, 2015 | S | 400 | $186.96 | D | 859,130 | D | |
| Common StockF1,F6 | Jan 13, 2015 | S | 1,000 | $188.0454 | D | 858,130 | D | |
| Common StockF1,F7 | Jan 13, 2015 | S | 600 | $189.113 | D | 857,530 | D | |
| Common StockF1,F8 | Jan 13, 2015 | S | 200 | $190.18 | D | 857,330 | D | |
| Common StockF1,F9 | Jan 13, 2015 | S | 400 | $191.1375 | D | 856,930 | D | |
| Common Stock | holding | — | — | — | 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 13, 2015 | M | 4,000 | D | Jun 7, 2006 | Jun 28, 2015 | Common Stock | 4,000 | 8,000 | D |
Explanation of responses
- F1The transaction was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 500 shares sold ranging from $182.54 to $183.49 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 600 shares sold ranging from $183.57 to $184.41 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 300 shares sold ranging from $184.68 to $185.12 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 400 shares sold ranging from $186.36 to $187.31 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 1,000 shares sold ranging from $187.52 to $188.40 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 600 shares sold ranging from $188.78 to $189.50 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.
- F8Weighted average sale price representing 200 shares sold ranging from $189.86 to $190.50 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.
- F9Weighted average sale price representing 400 shares sold ranging from $190.70 to $191.47 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.