SEC Form 4 · accession 0001127602-16-061181
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Aug 23, 2016
Accepted (ET)
Aug 25, 2016 · 8:43 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 | Aug 23, 2016 | M | 20,000 | $36.30 | A | 508,061 | D | |
| Common StockF1,F2 | Aug 23, 2016 | S | 9,707 | $172.298 | D | 498,354 | D | |
| Common StockF1,F3 | Aug 23, 2016 | S | 4,347 | $173.151 | D | 494,007 | D | |
| Common StockF1,F4 | Aug 23, 2016 | S | 5,746 | $173.988 | D | 488,261 | D | |
| Common StockF1 | Aug 23, 2016 | S | 200 | $174.79 | D | 488,061 | 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 | $36.30 | Aug 23, 2016 | M | 20,000 | D | Feb 28, 2010 | Jan 28, 2020 | Common Stock | 20,000 | 55,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 9,707 shares sold ranging from $171.63 to $172.62 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.
- F3Weighted average sale price representing 4,347 shares sold ranging from $172.64 to $173.56 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 5,746 shares sold ranging from $173.64 to $174.51 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.