-----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, NqfgW8a7puQB/ZLSr8ec/95SHgDapyqreRM9DnSKi+71IW5e5+7L1nkb9VJjYVB3 vbwVQKKcatRYvidC2W1hSA== 0001012870-00-002130.txt : 20000417 0001012870-00-002130.hdr.sgml : 20000417 ACCESSION NUMBER: 0001012870-00-002130 CONFORMED SUBMISSION TYPE: 8-A12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000414 FILER: 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 FILING VALUES: FORM TYPE: 8-A12G SEC ACT: SEC FILE NUMBER: 000-30361 FILM NUMBER: 601959 BUSINESS ADDRESS: STREET 1: 9390 TOWNE CENTRE DRIVE STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8585874290 MAIL ADDRESS: STREET 1: 9390 TOWN CENTRE DRIVE STREET 2: SUITE 200 CITY: SAN DIEGO STATE: CA ZIP: 92121 8-A12G 1 FORM 8-A FORM 8-A SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934 Illumina, Inc. ------------------------------------------------------ (Exact name of Registrant as specified in its charter) California (before reincorporation) Delaware (after reincorporation) 33-0804655 - ---------------------------------------- ------------------------------------ (State of Incorporation or organization) (I.R.S. Employer Identification No.) 9390 Towne Center Drive, Suite 200, San Diego, CA 92121 - ------------------------------------------------- ------------------ (Address of principal executive offices) (Zip Code) Securities to be registered pursuant to Section 12(b) of the Act: NONE - -------------------------------------------------------------------------------- Securities to be registered pursuant to Section 12(g) of the Act: COMMON STOCK, $0.01 PAR VALUE - -------------------------------------------------------------------------------- Item 1. Description of Registrant's Securities to be Registered. ------------------------------------------------------- Incorporated by reference to Description of Capital Stock section and Shares Eligible for Future Sales sections on pages 47 to 52 of the Registrant's Registration Statement on Form S-1 filed with the Securities and Exchange Commission on March 1, 2000, as amended (file number 333- 33922) (the "S-1 Registration Statement"). Item 2. Exhibits. -------- The following exhibit is filed as a part of this Registration Statement: *1.1 Form of Registrant's Common Stock Certificate *2.1 Form of Restated Certificate of Incorporation of Registrant to be filed with the Secretary of State of Delaware upon closing of the Registrant's initial public offering. *2.2 Form of Bylaws of Registrant to be in effect upon closing of the Registrant's initial public offering. *2.3 Restated Investor Rights Agreement dated December 16, 1999 between Registrant and certain stockholders. * Incorporated by reference to the Exhibits in the S-1 Registration Statement. -2- SIGNATURE Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized. Dated: April 14, 2000 Illumina, Inc. By: /s/ Jay Flatley -------------------------------- Jay Flatley Chief Executive Officer -----END PRIVACY-ENHANCED MESSAGE-----