0001127602-18-036237.txt : 20181213
0001127602-18-036237.hdr.sgml : 20181213
20181213183445
ACCESSION NUMBER: 0001127602-18-036237
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181211
FILED AS OF DATE: 20181213
DATE AS OF CHANGE: 20181213
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: 181234222
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
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
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2018-12-11
0001110803
ILLUMINA INC
ILMN
0001694295
SAMAD SAMER ABDUL
5200 ILLUMINA WAY
SAN DIEGO
CA
92122
1
Sr. VP and CFO
Common Stock
2018-12-11
4
A
0
1521
0
A
4825
D
Performance Shares
2018-12-11
4
A
0
4561
0
A
2022-01-02
Common Stock
4561
4561
D
Grant of restricted stock units shall vest as follows: 25% of the shares subject to the award shall vest on each of November 5, 2019, November 5, 2020, November 5, 2021 and November 5, 2022, 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 earnings per share for the fiscal year ending January 2, 2022. 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 January 2, 2022, relative to pre-defined objectives, subject to awardee's continuing status as a service provider on such dates.
By: Robert Maynes for Samer Abdul Samad
2018-12-13