0001127602-21-005287.txt : 20210211
0001127602-21-005287.hdr.sgml : 20210211
20210211185642
ACCESSION NUMBER: 0001127602-21-005287
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210209
FILED AS OF DATE: 20210211
DATE AS OF CHANGE: 20210211
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMAD SAM
CENTRAL INDEX KEY: 0001694295
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35406
FILM NUMBER: 21621696
MAIL ADDRESS:
STREET 1: 5200 ILLUMINA WAY
CITY: SAN DIEGO
STATE: CA
ZIP: 92122
FORMER NAME:
FORMER CONFORMED NAME: SAMAD SAMER ABDUL
DATE OF NAME CHANGE: 20170112
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: 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
2021-02-09
0001110803
ILLUMINA, INC.
ILMN
0001694295
SAMAD SAM
5200 ILLUMINA WAY
SAN DIEGO
CA
92122
1
SVP and CFO
Common Stock
2021-02-09
4
A
0
1380
0
A
4494
D
Performance Shares
2021-02-09
4
A
0
4140
0
A
2023-12-31
Common Stock
4140
4140
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, 2021, November 5, 2022, November 5, 2023, and November 5, 2024, 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 December 31, 2023. The number of shares issued will range from 0% to 175% of the amount specified above, based on the Company's actual earnings per share for the fiscal year ending December 31,2023, relative to pre-defined objectives, subject to awardee's continuing to be a service provider on such dates.
By: Robert Maynes for Sam Samad
2021-02-11