0001127602-21-001215.txt : 20210107 0001127602-21-001215.hdr.sgml : 20210107 20210107175117 ACCESSION NUMBER: 0001127602-21-001215 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210106 FILED AS OF DATE: 20210107 DATE AS OF CHANGE: 20210107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAMAD SAM CENTRAL INDEX KEY: 0001694295 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35406 FILM NUMBER: 21515053 MAIL ADDRESS: STREET 1: 5200 ILLUMINA WAY CITY: SAN DIEGO STATE: CA ZIP: 92122 FORMER NAME: FORMER CONFORMED NAME: SAMAD SAMER ABDUL DATE OF NAME CHANGE: 20170112 FORMER NAME: FORMER CONFORMED NAME: SAMAD SAMER ABDUL Baranowski DATE OF NAME CHANGE: 20170111 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: 0103 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 FORMER COMPANY: FORMER CONFORMED NAME: ILLUMINA INC DATE OF NAME CHANGE: 20000331 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-01-06 0001110803 ILLUMINA, INC. ILMN 0001694295 SAMAD SAM 5200 ILLUMINA WAY SAN DIEGO CA 92122 1 SVP and CFO Common Stock 2021-01-06 4 F 0 214 376.55 D 3114 D By: Robert Maynes for Sam Samad 2021-01-07