SEC Form 4 · accession 0001127602-16-045347
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles Dadswell
Officer — Sr VP & General Counsel
Period of report
Mar 3, 2016
Accepted (ET)
Mar 7, 2016 · 7:56 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 | Mar 3, 2016 | M | 33,750 | $0.00 | A | 75,325 | D | |
| Common StockF2 | Mar 3, 2016 | A | 16,875 | $0.00 | A | 92,200 | D | |
| Common Stock | Mar 3, 2016 | F | 25,577 | $157.45 | D | 66,623 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance SharesF1 | — | Mar 3, 2016 | M | 33,750 | D | — | Jan 3, 2016 | Common Stock | 33,750 | 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 April 22, 2013.
- 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 April 22, 2013.