0000950170-24-076883.txt : 20240624 0000950170-24-076883.hdr.sgml : 20240624 20240624171503 ACCESSION NUMBER: 0000950170-24-076883 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240624 FILED AS OF DATE: 20240624 DATE AS OF CHANGE: 20240624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ILLUMINA, INC. CENTRAL INDEX KEY: 0001110803 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] ORGANIZATION NAME: 08 Industrial Applications and Services STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-42045 FILM NUMBER: 241065296 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 NAME: FORMER CONFORMED NAME: ILLUMINA INC DATE OF NAME CHANGE: 20000331 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GRAIL, Inc. CENTRAL INDEX KEY: 0001699031 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 475117880 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1525 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-771-9796 MAIL ADDRESS: STREET 1: 1525 O'BRIEN DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: GRAIL, LLC DATE OF NAME CHANGE: 20231113 FORMER COMPANY: FORMER CONFORMED NAME: Grail, Inc. DATE OF NAME CHANGE: 20170227 4 1 ownership.xml 4 X0508 4 2024-06-24 0001699031 GRAIL, Inc. GRAL 0001110803 ILLUMINA, INC. 5200 ILLUMINA WAY SAN DIEGO CA 92122 false false true false false Common stock, par value $0.001 per share 2024-06-24 4 J false 26547021 0.00 D 4502126 D On June 3, 2024, Illumina, Inc. a Delaware corporation ("Illumina"), reported that it owned 100% of the membership interests of GRAIL, LLC. On June 21, 2024, GRAIL, LLC converted from a limited liability company to a corporation and changed its name to GRAIL, Inc. In connection therewith, the outstanding limited liability company interests of GRAIL, LLC changed to 31,049,147 shares of common stock, par value $0.001 per share of GRAIL, Inc. The record date for the pro rata distribution by Illumina of 26,547,021 shares of common stock of GRAIL, Inc. to the holders of shares of Illumina common stock was June 13, 2024. The distribution of shares of common stock of GRAIL, Inc. occurred on June 24, 2024. By: /s/ Scott Davies, Vice President, Legal and Assistant Secretary 2024-06-24