SEC Form 4 · accession 0001127602-17-017783
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
May 9, 2017
Accepted (ET)
May 11, 2017 · 5:53 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 | May 9, 2017 | M | 20,000 | $36.30 | A | 539,176 | D | |
| Common StockF1,F2 | May 9, 2017 | S | 6,100 | $183.297 | D | 533,076 | D | |
| Common StockF1,F3 | May 9, 2017 | S | 13,600 | $184.492 | D | 519,476 | D | |
| Common StockF1,F4 | May 9, 2017 | S | 300 | $185.05 | D | 519,176 | 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 | May 9, 2017 | M | 20,000 | D | Feb 28, 2010 | Jan 28, 2020 | Common Stock | 20,000 | 35,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 6,100 shares sold ranging from $182.9201 to $183.8501 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 13,600 shares sold ranging from $183.9201 to $184.84 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 300 shares sold ranging from $185.00 to $185.12 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.