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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 3/1/22 |
| Issuer: |
| Issuer CIK: 1110803 |
| Issuer Name: ILLUMINA, INC. |
| Issuer Trading Symbol: ILMN |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1812464 |
| | Owner Name: Aravanis Alexander |
| Reporting Owner Address: |
| | Owner Street 1: 5200 ILLUMINA WAY |
| | Owner Street 2: |
| | Owner City: SAN DIEGO |
| | Owner State: CA |
| | Owner ZIP Code: 92122 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Officer? Yes |
| | Officer Title: SVP, Chief Technology Officer |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Non-qualified Stock Option (Right to Buy) |
| | Conversion or Exercise Price: |
| | | Value: 330.25 |
| | Transaction Date: |
| | | Value: 3/1/22 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 34,999 |
| | | Transaction Price Per Share: |
| Value: 330.25 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Value: 3/1/23 |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 3/1/29 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 34,999 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 34,999 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Performance Shares |
| | Conversion or Exercise Price: |
| | | Footnote ID: F2 |
| | Transaction Date: |
| | | Value: 3/1/22 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 12,113 |
| | | Transaction Price Per Share: |
| Value: 0 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 12/29/24 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 12,113 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 12,113 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: Twenty-five percent (25%) of the shares subject to the option become exercisable on the date indicated above, subject to optionee's continuing to be a service provider on such date. An additional 25% of the shares subject to the option shall become exercisable each year thereafter, subject to optionee's continuing to be a service provider on such date. |
| Footnote - F2: 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 29, 2024. The number of shares issued will range from 0% to 200% of the amount specified above, based on the company's actual earnings per share for the fiscal year ending December 29, 2024, relative to pre-defined objectives, subject to the awardee's continuing status as a service provider on such dates. |
| Owner Signature: |
| Signature Name: By: Robert Maynes for Alexander Aravanis |
| Signature Date: 3/3/22 |
