SEC Form 4 · accession 0001127602-17-018009
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
A Blaine Bowman
Director
Period of report
May 10, 2017
Accepted (ET)
May 12, 2017 · 7:14 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 10, 2017 | M | 2,300 | $75.66 | A | 18,004 | D | |
| Common StockF1,F2 | May 10, 2017 | S | 1,000 | $180.92 | D | 17,004 | D | |
| Common StockF1,F3 | May 10, 2017 | S | 1,100 | $181.918 | D | 15,904 | D | |
| Common StockF1,F4 | May 10, 2017 | S | 200 | $183.40 | D | 15,704 | D | |
| Common Stock | holding | — | — | — | 198 | I | Family Trust | |
| Common Stock | holding | — | — | — | 670 | I | Limited Partnership |
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 | $75.66 | May 10, 2017 | M | 2,300 | D | May 10, 2012 | May 10, 2021 | Common Stock | 2,300 | 0 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 1,000 shares sold ranging from $180.44 to $181.40 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 1,100 shares sold ranging from $181.44 to $182.40 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 200 shares sold ranging from $183.23 to $183.57 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.