0001127602-21-006507.txt : 20210218 0001127602-21-006507.hdr.sgml : 20210218 20210218164113 ACCESSION NUMBER: 0001127602-21-006507 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210217 FILED AS OF DATE: 20210218 DATE AS OF CHANGE: 20210218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dadswell Charles CENTRAL INDEX KEY: 0001575229 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35406 FILM NUMBER: 21650147 MAIL ADDRESS: STREET 1: 5200 ILLUMINA WAY CITY: SAN DIEGO STATE: CA ZIP: 92122 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 2021-02-17 0001110803 ILLUMINA, INC. ILMN 0001575229 Dadswell Charles 5200 ILLUMINA WAY SAN DIEGO CA 92122 1 SVP & General Counsel Common Stock 2021-02-17 4 A 0 386 0 A 5278 D Common Stock 2021-02-17 4 M 0 3503 0 A 8781 D Common Stock 2021-02-17 4 F 0 1635 494.24 D 7146 D Performance Shares 2021-02-17 4 M 0 3503 0 D 2021-01-03 Common Stock 3503 0 D Represents additional shares of stock awarded as a result of the Company achieving at least 111% of the applicable performance criteria pursuant to the reporting person's grant of performance share units on December 11, 2017. Represents 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 11, 2017. By: Robert Maynes for Charles Dadswell 2021-02-18