SEC Form 4 · accession 0001127602-16-049138
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David R Walt
Director
Period of report
Apr 7, 2016
Accepted (ET)
Apr 11, 2016 · 5:58 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 | Apr 7, 2016 | M | 4,000 | $13.30 | A | 635,840 | D | |
| Common StockF1,F2 | Apr 7, 2016 | S | 1,200 | $167.521 | D | 634,640 | D | |
| Common StockF1,F3 | Apr 7, 2016 | S | 1,000 | $168.339 | D | 633,640 | D | |
| Common StockF1,F4 | Apr 7, 2016 | S | 1,100 | $169.578 | D | 632,540 | D | |
| Common StockF1,F5 | Apr 7, 2016 | S | 600 | $170.777 | D | 631,940 | D | |
| Common StockF1 | Apr 7, 2016 | S | 100 | $172.30 | D | 631,840 | D | |
| Common Stock | holding | — | — | — | 36,960 | I | By Spouse |
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 | $13.30 | Apr 7, 2016 | M | 4,000 | D | Jun 8, 2007 | Jun 8, 2016 | Common Stock | 4,000 | 8,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 1,200 shares sold ranging from $167.00 to $167.90 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 1,000 shares sold ranging from $168.09 to $168.73 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 1,100 shares sold ranging from $169.09 to $170.01 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 600 shares sold ranging from $170.38 to $171.29 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.