SEC Form 4 · accession 0001127602-19-005997
ILLUMINA, INC. · ILMN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jay T Flatley
Director
Period of report
Feb 12, 2019
Accepted (ET)
Feb 14, 2019 · 4:21 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 | Feb 12, 2019 | M | 28,888 | $0.00 | A | 358,929 | D | |
| Common StockF2 | Feb 12, 2019 | A | 6,067 | $0.00 | A | 364,996 | D | |
| Common Stock | Feb 12, 2019 | F | 16,828 | $292.20 | D | 348,168 | D | |
| Common StockF3,F4 | Feb 13, 2019 | S | 3,300 | $293.66 | D | 344,868 | D | |
| Common Stock | holding | — | — | — | 4,000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance SharesF1 | — | Feb 12, 2019 | M | 28,888 | D | — | Dec 30, 2018 | Common Stock | 28,888 | 0 | D |
Explanation of responses
- F1Represents shares of stock awarded as a result of the Company achieving at least 100% of the applicable performance criteria pursuant to the reporting person's grant of performance share units on December 8, 2015.
- F2Represents additional shares of stock awarded as a result of the Company achieving at least 121% of the applicable performance criteria pursuant to the reporting person's grant of performance share units on December 8, 2015.
- F3The sale was made pursuant to a 10b5-1 plan.
- F4Balance includes 62 shares acquired through Employee Stock Purchase Plan.