SEC Form 4 · accession 0001110803-15-000024
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David R Walt
Director
Period of report
Jan 20, 2015
Accepted (ET)
Jan 22, 2015 · 5:54 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 20, 2015 | M | 4,000 | $6.225 | A | 860,930 | D | |
| Common StockF1,F2 | Jan 20, 2015 | S | 200 | $190.37 | D | 860,730 | D | |
| Common StockF1 | Jan 20, 2015 | S | 100 | $191.34 | D | 860,630 | D | |
| Common StockF1,F3 | Jan 20, 2015 | S | 377 | $192.5536 | D | 860,253 | D | |
| Common StockF1,F4 | Jan 20, 2015 | S | 1,200 | $193.8991 | D | 859,053 | D | |
| Common StockF1,F5 | Jan 20, 2015 | S | 1,307 | $194.8375 | D | 857,746 | D | |
| Common StockF1,F6 | Jan 20, 2015 | S | 816 | $196.4311 | D | 856,930 | D | |
| Common StockF1 | Jan 20, 2015 | S | 100 | $190.00 | D | 76,860 | I | By Spouse |
| Common StockF1,F7 | Jan 20, 2015 | S | 250 | $192.922 | D | 76,610 | I | By Spouse |
| Common StockF1,F8 | Jan 20, 2015 | S | 800 | $194.0781 | D | 75,810 | I | By Spouse |
| Common StockF1,F9 | Jan 20, 2015 | S | 400 | $194.8725 | D | 75,410 | I | By Spouse |
| Common StockF1,F10 | Jan 20, 2015 | S | 450 | $196.4711 | D | 74,960 | 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 20, 2015 | M | 4,000 | D | Jun 7, 2006 | Jun 28, 2015 | Common Stock | 4,000 | 4,000 | D |
Explanation of responses
- F1The transaction was made pursuant to a 10b5-1 plan.
- F10Weighted average sale price representing 450 shares sold ranging from $195.90 to $196.675 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 200 shares sold ranging from $189.92 to $190.82 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 377 shares sold ranging from $192.37 to $192.97 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 1,200 shares sold ranging from $193.40 to $194.34 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 1,307 shares sold ranging from $194.455 to $195.41 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.
- F6Weighted average sale price representing 816 shares sold ranging from $195.81 to $196.79 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 250 shares sold ranging from $192.51 to $193.44 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 800 shares sold ranging from $193.51 to $194.455 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 $194.55 to $195.27 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.