SEC Form 4 · accession 0001127602-17-031643
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Nov 7, 2017
Accepted (ET)
Nov 8, 2017 · 7:37 pm EST
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 | Nov 7, 2017 | M | 20,000 | $70.82 | A | 536,717 | D | |
| Common StockF1,F2 | Nov 7, 2017 | S | 4,300 | $209.2699 | D | 532,417 | D | |
| Common StockF1,F3 | Nov 7, 2017 | S | 9,375 | $210.5606 | D | 523,042 | D | |
| Common StockF1,F4 | Nov 7, 2017 | S | 5,625 | $211.4572 | D | 517,417 | D | |
| Common StockF1,F5 | Nov 7, 2017 | S | 700 | $212.0514 | D | 516,717 | 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 | Nov 7, 2017 | M | 20,000 | D | Mar 1, 2011 | Feb 1, 2021 | Common Stock | 20,000 | 15,000 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 4,300 shares sold ranging from $208.84 to $209.71 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 9,375 shares sold ranging from $210.01 to $210.94 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 5,625 shares sold ranging from $211.02 to $212.01 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 $212.03 to $212.08 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.