0001567658-21-000001.txt : 20210708 0001567658-21-000001.hdr.sgml : 20210708 20210708171026 ACCESSION NUMBER: 0001567658-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210708 DATE AS OF CHANGE: 20210708 EFFECTIVENESS DATE: 20210708 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Illumio, Inc. CENTRAL INDEX KEY: 0001567658 IRS NUMBER: 461675620 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-405647 FILM NUMBER: 211080918 BUSINESS ADDRESS: STREET 1: 920 DEGUIGNE DR. CITY: SUNNYVALE STATE: CA ZIP: 94086 BUSINESS PHONE: 669-800-5000 MAIL ADDRESS: STREET 1: 920 DEGUIGNE DR. CITY: SUNNYVALE STATE: CA ZIP: 94086 D 1 primary_doc.xml X0708 D LIVE 0001567658 Illumio, Inc. 920 DEGUIGNE DR. SUNNYVALE CA CALIFORNIA 94086 669-800-5000 DELAWARE None None Corporation true Andrew Rubin c/o Illumio, Inc. 920 Deguigne Dr. Sunnyvale CA CALIFORNIA 94086 Executive Officer Director Paul J. Kirner c/o Illumio, Inc. 920 Deguigne Dr. Sunnyvale CA CALIFORNIA 94086 Executive Officer Anup Singh c/o Illumio, Inc. 920 Deguigne Dr. Sunnyvale CA CALIFORNIA 94086 Executive Officer Steve Herrod c/o Illumio, Inc. 920 Deguigne Dr. Sunnyvale CA CALIFORNIA 94086 Director John M. Jack c/o Illumio, Inc. 920 Deguigne Dr. Sunnyvale CA CALIFORNIA 94086 Director Jennifer Johnson c/o Illumio, Inc. 920 Deguigne Dr. Sunnyvale CA CALIFORNIA 94086 Director John M. Hinshaw c/o Illumio, Inc. 920 Deguigne Dr. Sunnyvale CA CALIFORNIA 94086 Director Other Technology Decline to Disclose 06b false 2021-06-23 false true false 0 224999952 224999952 0 false 13 0 0 0 false Illumio, Inc. /s/ Andrew Rubin Andrew Rubin Chief Executive Officer 2021-07-08