SEC Form 4 · accession 0001127602-15-032568
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
Nov 24, 2015
Accepted (ET)
Nov 25, 2015 · 1:56 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 | Nov 24, 2015 | M | 20,000 | $27.97 | A | 443,793 | D | |
| Common StockF1,F2 | Nov 24, 2015 | S | 2,116 | $172.172 | D | 441,677 | D | |
| Common StockF1,F3 | Nov 24, 2015 | S | 14,135 | $173.2366 | D | 427,542 | D | |
| Common StockF1,F4 | Nov 24, 2015 | S | 3,647 | $173.98 | D | 423,895 | D | |
| Common StockF1,F5 | Nov 24, 2015 | S | 102 | $174.7196 | D | 423,793 | 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 | Nov 24, 2015 | M | 20,000 | D | Mar 1, 2009 | Jan 29, 2019 | Common Stock | 20,000 | 45,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 2,116 shares sold ranging from $171.65 to $172.64 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 14,135 shares sold ranging from $172.66 to $173.65 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 3,647 shares sold ranging from $173.69 to $174.67 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 102 shares sold ranging from $174.70 to $174.72 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.