SEC Form 4 · accession 0001127602-15-027557
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Officer — Chief Executive Officer
Period of report
Sep 22, 2015
Accepted (ET)
Sep 23, 2015 · 12:42 pm EDT
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 | Sep 22, 2015 | M | 25,000 | $27.97 | A | 449,996 | D | |
| Common StockF1,F2 | Sep 22, 2015 | S | 10,310 | $191.251 | D | 439,686 | D | |
| Common StockF1,F3 | Sep 22, 2015 | S | 5,742 | $192.376 | D | 433,944 | D | |
| Common StockF1,F4 | Sep 22, 2015 | S | 3,123 | $193.192 | D | 430,821 | D | |
| Common StockF1,F5 | Sep 22, 2015 | S | 1,410 | $194.197 | D | 429,411 | D | |
| Common StockF1,F6 | Sep 22, 2015 | S | 2,930 | $195.665 | D | 426,481 | D | |
| Common StockF1,F7 | Sep 22, 2015 | S | 1,285 | $197.108 | D | 425,196 | D | |
| Common StockF1,F8 | Sep 22, 2015 | S | 200 | $197.61 | D | 424,996 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-qualified Stock Option (Right to Buy)F1 | $27.97 | Sep 22, 2015 | M | 25,000 | D | Mar 1, 2009 | Jan 29, 2019 | Common Stock | 25,000 | 95,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 10,310 shares sold ranging from $190.92 to $191.81 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 5,742 shares sold ranging from $191.92 to $192.89 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 3,123 shares sold ranging from $192.94 to $193.88 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.
- F5Weighted average sale price representing 1,410 shares sold ranging from $194.02 to $194.44 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.
- F6Weighted average sale price representing 2,930 shares sold ranging from $195.26 to $196.24 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 1,285 shares sold ranging from $196.38 to $197.33 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.
- F8Weighted average sale price representing 200 shares sold ranging from $197.60 to $197.62 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.