SEC Form 4 · accession 0001127602-15-034889
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
Dec 22, 2015
Accepted (ET)
Dec 24, 2015 · 10:54 am 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 | Dec 22, 2015 | M | 15,000 | $27.97 | A | 448,423 | D | |
| Common StockF1 | Dec 22, 2015 | M | 10,000 | $36.30 | A | 458,423 | D | |
| Common StockF1,F2 | Dec 22, 2015 | S | 8,170 | $184.7599 | D | 450,253 | D | |
| Common StockF1,F3 | Dec 22, 2015 | S | 12,874 | $185.4781 | D | 437,379 | D | |
| Common StockF1,F4 | Dec 22, 2015 | S | 3,856 | $186.3363 | D | 433,523 | D | |
| Common StockF1 | Dec 22, 2015 | S | 100 | $187.14 | D | 433,423 | 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 | Dec 22, 2015 | M | 15,000 | D | Mar 1, 2009 | Jan 29, 2019 | Common Stock | 15,000 | 0 | D |
| Non-qualified Stock Option (Right to Buy)F1 | $36.30 | Dec 22, 2015 | M | 10,000 | D | Feb 28, 2010 | Jan 28, 2020 | Common Stock | 10,000 | 215,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 8,170 shares sold ranging from $184.07 to $185.065 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 12,874 shares sold ranging from $185.07 to $186.06 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 3,856 shares sold ranging from $186.07 to $186.86 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.