0001127602-16-057856.txt : 20160711 0001127602-16-057856.hdr.sgml : 20160711 20160711203433 ACCESSION NUMBER: 0001127602-16-057856 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160705 FILED AS OF DATE: 20160711 DATE AS OF CHANGE: 20160711 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ILLUMINA INC CENTRAL INDEX KEY: 0001110803 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 330804655 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 5200 ILLUMINA WAY CITY: SAN DIEGO STATE: CA ZIP: 92122 BUSINESS PHONE: 8582024500 MAIL ADDRESS: STREET 1: 5200 ILLUMINA WAY CITY: SAN DIEGO STATE: CA ZIP: 92122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: deSouza Francis A CENTRAL INDEX KEY: 0001520943 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35406 FILM NUMBER: 161763026 MAIL ADDRESS: STREET 1: 350 ELLIS STREET CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 FORMER NAME: FORMER CONFORMED NAME: deSousa Francis DATE OF NAME CHANGE: 20110516 4/A 1 form4a.xml PRIMARY DOCUMENT X0306 4/A 2016-07-05 2016-07-07 0001110803 ILLUMINA INC ILMN 0001520943 deSouza Francis A 5200 ILLUMINA WAY SAN DIEGO CA 92122 1 1 President and CEO Common Stock 2016-07-05 4 A 0 2705 0 A 108597 D Performance Shares 2016-07-05 4 A 0 8113 0 A 2018-12-30 Common Stock 8113 24621 D Grant of restricted stock units with 25% of the shares subject to the award vesting on each of the first, second, third and fourth anniversaries of the date of grant, subject to the awardee's continuing to be a service provider on such dates. This Form 4/A is being filed to correct the number of performance shares and shares of common stock acquired by the Reporting Person on July 5, 2016. Each performance stock unit represents a contingent right to receive one share of common stock based on the Company's earnings per share for the fiscal year ending December 30, 2018. The number of shares issued will range from 0% to 150% of the amount specified above, based on the Company's actual earnings per share for the fiscal year ending December 30, 2018, relative to pre-defined objectives, subject to awardee's continuing to be a service provider on such dates. By: Scott M. Davies for Francis A. deSouza 2016-07-11