SEC Form 4 · accession 0001127602-17-024931
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Aug 1, 2017
Accepted (ET)
Aug 3, 2017 · 9:14 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 | Aug 1, 2017 | M | 15,000 | $70.82 | A | 534,176 | D | |
| Common StockF1,F2 | Aug 1, 2017 | S | 3,600 | $172.006 | D | 530,576 | D | |
| Common StockF1,F3 | Aug 1, 2017 | S | 11,300 | $172.743 | D | 519,276 | D | |
| Common StockF1,F4 | Aug 1, 2017 | S | 100 | $173.504 | D | 519,176 | D | |
| Common StockF1 | Aug 2, 2017 | M | 5,000 | $70.82 | A | 524,176 | D | |
| Common StockF1 | Aug 2, 2017 | S | 5,000 | $188.00 | D | 519,176 | D | |
| Common Stock | holding | — | — | — | 2,680 | 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 | $70.82 | Aug 1, 2017 | M | 15,000 | D | Mar 1, 2011 | Feb 1, 2021 | Common Stock | 15,000 | 160,000 | D |
| Non-qualified Stock Option (Right to Buy)F1 | $70.82 | Aug 2, 2017 | M | 5,000 | D | Mar 1, 2011 | Feb 1, 2021 | Common Stock | 5,000 | 155,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 3,600 shares sold ranging from $171.45 to $172.35 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 11,300 shares sold ranging from $172.45 to $173.29 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.
- F4Weighted average sale price representing 100 shares sold ranging from $173.50 to $173.53 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.