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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BOWMAN A BLAINE 5200 ILLUMINA WAY SAN DIEGO, CA 92122 |
X |
By: Scott M. Davies For: A. Blaine Bowman | 06/18/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Consists of transactions in shares of Illumina, Inc. common stock (the "Common Stock") by the Bowman Family Trust (the "Trust"), of which Mr. Bowman and his spouse are the trustees. In this Form 4, the entire ownership of Common Stock by the Trust is reported by Mr. Bowman. The Common Stock owned by the Trust is held in a discretionary trading account in which all trades are effected by the broker without prior consultation with Mr. Bowman. |
(2) | Consists of transactions in Common Stock by Bowman Investment L.P. (the "Partnership"), of which the Trust and Mr. Bowman's children are the general partners and the Trust is the limited partner. In this Form 4, the entire ownership of Common Stock by the Partnership is reported by Mr. Bowman. Mr. Bowman disclaims beneficial ownership in the shares of Common Stock attributable to the general partnership interests of his adult children. The Common Stock owned by the Partnership is held in a discretionary trading account in which all trades are effected by the broker without prior consultation with Mr. Bowman. |