0001127602-24-009044.txt : 20240307 0001127602-24-009044.hdr.sgml : 20240307 20240307173316 ACCESSION NUMBER: 0001127602-24-009044 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: Pegels Kevin Carl CENTRAL INDEX KEY: 0001892104 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35406 FILM NUMBER: 24731464 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] 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 0001892104 Pegels Kevin Carl 5200 ILLUMINA WAY SAN DIEGO CA 92122 1 Chief of Global Operations 0 Common Stock 2024-03-05 4 A 0 5569 0 A 16846 D Performance Shares 2024-03-05 4 A 0 6497 0 A 2027-01-03 Common Stock 6497 6497 D Performance Shares 2024-03-05 4 A 0 6497 0 A 2027-01-03 Common Stock 6497 6497 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. 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 Kevin Pegels 2024-03-06