0001127602-20-026668.txt : 20201007 0001127602-20-026668.hdr.sgml : 20201007 20201007164633 ACCESSION NUMBER: 0001127602-20-026668 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201005 FILED AS OF DATE: 20201007 DATE AS OF CHANGE: 20201007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Reeves Kathryne Gambrell CENTRAL INDEX KEY: 0001824170 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35406 FILM NUMBER: 201229494 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] IRS NUMBER: 330804655 STATE OF INCORPORATION: DE FISCAL YEAR END: 0103 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 X0306 4 2020-10-05 0001110803 ILLUMINA, INC. ILMN 0001824170 Reeves Kathryne Gambrell 5200 ILLUMINA WAY SAN DIEGO CA 92122 1 SVP, Chief Marketing Officer Common Stock 2020-10-05 4 A 0 1187 0 A 1187 D Performance Shares 2020-10-05 4 A 0 2966 0 A 2023-01-01 Common Stock 2966 2966 D Grant of restricted stock units shall vest as follows: 25% of the shares subject to the award shall vest on each of October 5, 2021, October 5, 2022, October 5, 2023, and October 5, 2024, subject to the 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 1, 2023. 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 1, 2023, relative to pre-defined objectives, subject to awardee's continuing status as a service provider on such dates. By: Robert Maynes for Kathryne Gambrell Reeves 2020-10-07