0001127602-17-001632.txt : 20170112
0001127602-17-001632.hdr.sgml : 20170112
20170112203634
ACCESSION NUMBER: 0001127602-17-001632
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170106
FILED AS OF DATE: 20170112
DATE AS OF CHANGE: 20170112
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: 0101
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMAD SAMER ABDUL
CENTRAL INDEX KEY: 0001694295
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35406
FILM NUMBER: 17526225
MAIL ADDRESS:
STREET 1: 5200 ILLUMINA WAY
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
FORMER NAME:
FORMER CONFORMED NAME: SAMAD SAMER ABDUL Baranowski
DATE OF NAME CHANGE: 20170111
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-01-06
0001110803
ILLUMINA INC
ILMN
0001694295
SAMAD SAMER ABDUL
5200 ILLUMINA WAY
SAN DIEGO
CA
92122
1
Sr. VP and CFO
Common Stock
2017-01-06
4
A
0
2209
0
A
2209
D
Performance Shares
2017-01-06
4
A
0
6626
0
A
2019-12-29
Common Stock
6626
6626
D
Grant of restricted stock units with 25% of the shares subject to the award vesting on each of the first, second, third and fourth anniversaries of the date of grant, subject to the 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 earnings per share for the fiscal year ending December 29, 2019. The number of shares issued will range from 0% to 150% of the amount specified above, based on the Company's actual earnings per share for the fiscal year ending December 29, 2019, relative to pre-defined objectives, subject to awardee's continuing to be a service provider on such dates.
By: Robert Maynes for Samer Abdul Samad
2017-01-12