0001127602-23-006853.txt : 20230223 0001127602-23-006853.hdr.sgml : 20230223 20230223175515 ACCESSION NUMBER: 0001127602-23-006853 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230221 FILED AS OF DATE: 20230223 DATE AS OF CHANGE: 20230223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TOUSI SUSAN H CENTRAL INDEX KEY: 0001791938 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35406 FILM NUMBER: 23661388 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: 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 FORMER COMPANY: FORMER CONFORMED NAME: ILLUMINA INC DATE OF NAME CHANGE: 20000331 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2023-02-21 0001110803 ILLUMINA, INC. ILMN 0001791938 TOUSI SUSAN H 5200 ILLUMINA WAY SAN DIEGO CA 92122 1 SVP, Chief Commercial Officer Common Stock 2023-02-21 4 M 0 5869 0 A 44145 D Common Stock 2023-02-21 4 F 0 2197 202.84 D 41948 D Performance Shares 2023-02-21 4 M 0 5869 0 D 2023-01-01 Common Stock 5869 0 D Represents shares of stock awarded as a result of the Company achieving at least 94% of the applicable performance criteria pursuant to the reporting person's grant of performance share units on February 5, 2020. By: Robert Maynes for Susan Tousi 2023-02-23