SEC Form 4 · accession 0001127602-16-069359
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Dec 5, 2016
Accepted (ET)
Dec 6, 2016 · 8:25 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 | Dec 5, 2016 | A | 15,635 | $0.00 | A | 501,237 | D | |
| Common Stock | holding | — | — | — | 6,000 | I | By Daughters |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Grant of restricted stock units that vest as follows: 100% of the Shares subject to the Award become vested on December 5, 2017, subject to Awardee's continuing to be a Service Provider on such date.