SEC Form 4 · accession 0001127602-17-028350
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Sep 26, 2017
Accepted (ET)
Sep 28, 2017 · 7:01 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 26, 2017 | M | 20,000 | $70.82 | A | 539,176 | D | |
| Common StockF1,F2 | Sep 26, 2017 | S | 4,846 | $198.0537 | D | 534,330 | D | |
| Common StockF1,F3 | Sep 26, 2017 | S | 2,302 | $198.7902 | D | 532,028 | D | |
| Common StockF1,F4 | Sep 26, 2017 | S | 4,928 | $200.6729 | D | 527,100 | D | |
| Common StockF1,F5 | Sep 26, 2017 | S | 6,700 | $201.403 | D | 520,400 | D | |
| Common StockF1,F6 | Sep 26, 2017 | S | 1,224 | $202.1559 | 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 26, 2017 | M | 20,000 | D | Mar 1, 2011 | Feb 1, 2021 | Common Stock | 20,000 | 75,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 4,846 shares sold ranging from $197.63 to $198.59 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 2,302 shares sold ranging from $198.68 to $199.29 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 4,928 shares sold ranging from $200.04 to $200.96 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 6,700 shares sold ranging from $201.06 to $202.02 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.
- F6Weighted average sale price representing 1,224 shares sold ranging from $202.11 to $202.16 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.