SEC Form 4 · accession 0001127602-17-027448
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Sep 12, 2017
Accepted (ET)
Sep 14, 2017 · 6:08 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 | Sep 12, 2017 | M | 20,000 | $70.82 | A | 539,176 | D | |
| Common StockF1,F2 | Sep 12, 2017 | S | 6,310 | $210.5035 | D | 532,866 | D | |
| Common StockF1,F3 | Sep 12, 2017 | S | 12,090 | $211.198 | D | 520,776 | D | |
| Common StockF1,F4 | Sep 12, 2017 | S | 900 | $212.3878 | D | 519,876 | D | |
| Common StockF1,F5 | Sep 12, 2017 | S | 700 | $213.3014 | D | 519,176 | D | |
| Common Stock | holding | — | — | — | 140 | 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 | Sep 12, 2017 | M | 20,000 | D | Mar 1, 2011 | Feb 1, 2021 | Common Stock | 20,000 | 95,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 6,310 shares sold ranging from $209.86 to $210.84 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.
- F3Weighted average sale price representing 12,090 shares sold ranging from $210.88 to $211.87 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 900 shares sold ranging from $211.92 to $212.68 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.
- F5Weighted average sale price representing 700 shares sold ranging from $213.29 to $213.31 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.