SEC Form 4 · accession 0001127602-17-033236
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Nov 21, 2017
Accepted (ET)
Nov 24, 2017 · 5:31 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 21, 2017 | M | 15,000 | $70.82 | A | 531,717 | D | |
| Common StockF1,F2 | Nov 21, 2017 | S | 3,105 | $210.414 | D | 528,612 | D | |
| Common StockF1,F3 | Nov 21, 2017 | S | 11,501 | $211.3672 | D | 517,111 | D | |
| Common StockF1,F4 | Nov 21, 2017 | S | 5,394 | $211.8563 | D | 511,717 | 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 21, 2017 | M | 15,000 | D | Mar 1, 2011 | Feb 1, 2021 | Common Stock | 15,000 | 0 | D |
Explanation of responses
- F1The sale was made pursuant to a 10b5-1 plan.
- F2Weighted average sale price representing 3,105 shares sold ranging from $209.72 to $210.71 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 11,501 shares sold ranging from $210.72 to $211.71 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.
- F4Weighted average sale price representing 5,394 shares sold ranging from $211.72 to $212.28 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.