-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TPL3E2h3urTA8EF8efdSDStubV0gnI074oNSRRCNo7ITQp58aFE8RR5ffJ9s9AIo yGhhWgU9/KiBz+cF8wN2Gw== 0001031836-04-000001.txt : 20040205 0001031836-04-000001.hdr.sgml : 20040205 20040205175252 ACCESSION NUMBER: 0001031836-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040203 FILED AS OF DATE: 20040205 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: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9885 TOWNE CENTRE DRIVE STREET 2: . CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8582024500 MAIL ADDRESS: STREET 1: 9885 TOWN CENTRE DRIVE STREET 2: . CITY: SAN DIEGO STATE: CA ZIP: 92121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ARCH VENTURE FUND III L P CENTRAL INDEX KEY: 0001031836 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30361 FILM NUMBER: 04571108 BUSINESS ADDRESS: STREET 1: 8725 W HIGGINS ROAD STREET 2: SUITE 290 CITY: CHICAGO STATE: IL ZIP: 60631 BUSINESS PHONE: 7733806600 MAIL ADDRESS: STREET 1: 8725 W HIGGINS ROAD STREET 2: SUITE 290 CITY: CHICAGO STATE: IL ZIP: 60631 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-02-03 1 0001110803 ILLUMINA INC ILMN 0001031836 ARCH VENTURE FUND III L P 8725 W HIGGINS ROAD SUITE 290 CHICAGO IL 60631 0 0 0 1 Former 10% Holder Common Stock 2004-02-03 4 J 0 400000 0 D 2915298 D Distribution of Common Stock held by a limited partnership to its partners for no consideration. ARCH Venture Fund III, L.P., By: ARCH Venture Partners, LLC, Its General Partner, By: Keith Crandell, Managing Director 2004-02-05 -----END PRIVACY-ENHANCED MESSAGE-----