SEC Form 4 · accession 0001110803-15-000071
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Officer — Chief Executive Officer · Director
Period of report
Feb 18, 2015
Accepted (ET)
Feb 20, 2015 · 9:32 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 | Feb 18, 2015 | A | 98,438 | $0.00 | A | 455,679 | D | |
| Common StockF2 | Feb 18, 2015 | A | 49,219 | $0.00 | A | 504,898 | D | |
| Common Stock | Feb 18, 2015 | F | 77,048 | $198.62 | D | 427,850 | D | |
| Common Stock | holding | — | — | — | 6,000 | I | by Daughters |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance SharesF1 | — | Feb 18, 2015 | M | 98,438 | D | — | Dec 28, 2014 | Common Stock | 98,438 | 0 | D |
Explanation of responses
- F1Represents shares of stock awarded as a result of the Company achieving at least 100% of the applicable performance criteria pursuant to the reporting person's grant of performance share units on March 12, 2012.
- F2Represents additional shares of stock awarded as a result of the Company achieving at least 150% of the applicable performance criteria pursuant to the reporting person's grant of performance share units on March 12, 2012.