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