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ILMN Illumina Inc

114.315
-0.695 (-0.60%)
Last Updated: 15:14:05
Delayed by 15 minutes
Share Name Share Symbol Market Type
Illumina Inc NASDAQ:ILMN NASDAQ Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  -0.695 -0.60% 114.315 114.28 114.43 115.1799 113.21 114.40 119,559 15:14:05

Initial Statement of Beneficial Ownership (3)

09/11/2021 10:46pm

Edgar (US Regulatory)


FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Pegels Kevin Carl
2. Date of Event Requiring Statement (MM/DD/YYYY)
11/2/2021 

3. Issuer Name and Ticker or Trading Symbol

ILLUMINA, INC. [ILMN]
(Last)        (First)        (Middle)

5200 ILLUMINA WAY
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                          _____ 10% Owner
___X___ Officer (give title below)        _____ Other (specify below)
Chief of Global Operations /
(Street)

SAN DIEGO, CA 92122      

(City)              (State)              (Zip)
5. If Amendment, Date Original Filed(MM/DD/YYYY)
 

6. Individual or Joint/Group Filing(Check Applicable Line)

_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock (1)5419 D  

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
Performance Shares (2) (3)1/2/2022 Common Stock 1065  (3)D  
Performance Shares (2) (4)1/1/2023 Common Stock 1166  (4)D  
Performance Shares (2) (5)12/31/2023 Common Stock 1104  (5)D  

Explanation of Responses:
(1) Includes unvested Restricted Stock Units granted prior to appointment as Section 16 Officer.
(2) Granted prior to appointment as Section 16 Officer.
(3) 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.
(4) 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.
(5) 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.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Pegels Kevin Carl
5200 ILLUMINA WAY
SAN DIEGO, CA 92122


Chief of Global Operations

Signatures
By: Robert Maynes for Kevin Pegels11/9/2021
**Signature of Reporting PersonDate

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