0001127602-24-009035.txt : 20240307
0001127602-24-009035.hdr.sgml : 20240307
20240307172812
ACCESSION NUMBER: 0001127602-24-009035
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240305
FILED AS OF DATE: 20240307
DATE AS OF CHANGE: 20240307
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Thaysen Jacob
CENTRAL INDEX KEY: 0001625263
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35406
FILM NUMBER: 24731408
MAIL ADDRESS:
STREET 1: 5301 STEVENS CREEK BLVD.
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ILLUMINA, INC.
CENTRAL INDEX KEY: 0001110803
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 330804655
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1229
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
X0508
4
2024-03-05
0001110803
ILLUMINA, INC.
ILMN
0001625263
Thaysen Jacob
5200 ILLUMINA WAY
SAN DIEGO
CA
92122
1
1
Chief Executive Officer
0
Common Stock
2024-03-05
4
A
0
22276
0
A
37137
D
Common Stock
2024-03-05
4
A
0
7426
0
A
44563
D
Performance Shares
2024-03-05
4
A
0
25988
0
A
2027-01-03
Common Stock
25988
25988
D
Performance Shares
2024-03-05
4
A
0
25988
0
A
2027-01-03
Common Stock
25988
25988
D
Grant of restricted stock units shall vest as follows: 25% of the shares subject to the award shall vest on each of February 15, 2025, February 15, 2026, February 15, 2027, and February 15, 2028, subject to awardee's continuing status as a service provider on such dates.
Grant of restricted stock units shall vest as follows: 100% of the shares subject to the award shall vest on March 5, 2027, subject to awardee's continuing status as a service provider on such date as well as holding of the contingent purchased shares.
Each performance stock unit represents a contingent right to receive one share of common stock based on the Company's three-year average operating margin for fiscal years 2024-2026 with vesting on January 3, 2027 . The number of shares issued will range from 0% to 200% of the amount specified above, based on the Company's actual three-year average operating margin for fiscal years 2024-2026 , relative to pre-defined objectives, subject to awardee's continuing to be a service provider on such dates.
Each performance stock unit represents a contingent right to receive one share of common stock based on the Company's relative total shareholder return for the fiscal year ending January 3, 2027. The number of shares issued will range from 0% to 200% of the amount specified above, based on the company's relative total shareholder return for the fiscal year ending January 3, 2027, relative to pre-defined objectives, subject to the awardee's continuing status as a service provider on such dates.
By: Robert Maynes for Jacob Thaysen
2024-03-06