<SEC-DOCUMENT>0000950157-22-000509.txt : 20220502
<SEC-HEADER>0000950157-22-000509.hdr.sgml : 20220502
<ACCEPTANCE-DATETIME>20220502164149
ACCESSION NUMBER:		0000950157-22-000509
CONFORMED SUBMISSION TYPE:	8-A12G
PUBLIC DOCUMENT COUNT:		1
FILED AS OF DATE:		20220502
DATE AS OF CHANGE:		20220502

FILER:

	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

	FILING VALUES:
		FORM TYPE:		8-A12G
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-30361
		FILM NUMBER:		22882668

	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
</SEC-HEADER>
<DOCUMENT>
<TYPE>8-A12G
<SEQUENCE>1
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<TEXT>
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    <div>&#160;</div>
    <div style="text-align: center; font-size: 18pt; font-weight: bold;">UNITED STATES</div>
    <div style="text-align: center; font-size: 18pt; font-weight: bold;">SECURITIES AND EXCHANGE COMMISSION</div>
    <div style="text-align: center; font-weight: bold; font-size: 12pt;">WASHINGTON, D.C. 20549</div>
    <div style="font-size: 8pt;">&#160;</div>
    <div style="font-size: 8pt;">&#160;</div>
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    <div style="text-align: center; font-size: 18pt; font-weight: bold;"> <br>
    </div>
    <div style="text-align: center; font-size: 18pt; font-weight: bold;">FORM 8-A</div>
    <div style="font-size: 8pt; text-align: center;"> <br>
    </div>
    <div style="font-size: 8pt; text-align: center;">&#160;
      <hr noshade="noshade" align="center" style="height: 2px; width: 15%; color: #000000; background-color: #000000; margin-left: auto; margin-right: auto; border: none;"></div>
    <div style="font-size: 8pt;">&#160;</div>
    <div style="text-align: center; font-weight: bold; font-size: 12pt;">FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES</div>
    <font style="font-size: 12pt;"> </font>
    <div style="text-align: center; font-weight: bold; font-size: 12pt;">PURSUANT TO SECTION 12(b) OR 12(g) OF THE</div>
    <font style="font-size: 12pt;"> </font>
    <div style="text-align: center; font-weight: bold; font-size: 12pt;">SECURITIES EXCHANGE ACT OF 1934</div>
    <div style="font-size: 8pt;">&#160;</div>
    <div style="font-size: 8pt;">&#160;</div>
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    </div>
    <div style="text-align: center; font-size: 24pt; font-weight: bold;">ILLUMINA, INC.</div>
    <div style="text-align: center; font-weight: bold;">(Exact name of registrant as specified in its charter)</div>
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    <div style="font-size: 8pt;">&#160;</div>
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            <div style="text-align: center; color: #000000; font-weight: bold;">Delaware</div>
          </td>
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            <div style="color: #000000;">&#160;</div>
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          <td style="width: 48.99%; vertical-align: top;">
            <div style="text-align: center; color: #000000; font-weight: bold;">33-0804655</div>
          </td>
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        <tr>
          <td style="width: 48.97%; vertical-align: top;">
            <div style="text-align: center; color: #000000;">(State of incorporation</div>
            <div style="text-align: center; color: #000000;">or organization)</div>
          </td>
          <td style="width: 2.04%; vertical-align: bottom;">
            <div style="color: #000000;">&#160;</div>
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            <div style="text-align: center; color: #000000;">(I.R.S. Employer</div>
            <div style="text-align: center; color: #000000;">Identification No.)</div>
            <div>&#160;</div>
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    <div style="text-align: center; font-weight: bold;">5200 Illumina Way</div>
    <div style="text-align: center; font-weight: bold;">San Diego, CA 92122</div>
    <div style="text-align: center;">(Address of principal executive offices, including zip code)</div>
    <div>&#160;</div>
    <div style="text-align: center;">Securities to be registered pursuant to Section&#160;12(b) of the Act:</div>
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            <div style="color: #000000;">&#160;</div>
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            <div style="text-align: center; color: #000000;">Title&#160;of&#160;each&#160;class&#160;to&#160;be&#160;so&#160;registered</div>
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            <div style="color: #000000;">&#160;</div>
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            <div style="text-align: center; color: #000000;">Name&#160;of&#160;each&#160;exchange&#160;on&#160;which</div>
            <div style="text-align: center; color: #000000;">each&#160;class&#160;is&#160;to&#160;be&#160;registered</div>
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            <div style="text-align: center; color: #000000;">None</div>
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            <div style="text-align: center; color: #000000;">None</div>
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    <div>&#160;</div>
    <div>&#160;</div>
    <div style="text-indent: 27pt;">If this form relates to the registration of a class of securities pursuant to Section&#160;12(b) of the Exchange Act and is effective pursuant to General Instruction A.(c), check the following box.&#160;&#160;<font style="font-family: 'Segoe UI Symbol', sans-serif;">&#9744;</font></div>
    <div>&#160;</div>
    <div style="text-indent: 27pt;">If this form relates to the registration of a class of securities pursuant to Section&#160;12(g) of the Exchange Act and is effective pursuant to General Instruction A.(d), check the following box.&#160;&#160;<font style="font-family: 'Segoe UI Symbol', sans-serif;">&#9746;</font></div>
    <div>&#160;</div>
    <div style="text-indent: 27pt;">Securities Act registration statement file number to which this form relates (if applicable):&#160;&#160;333-250941</div>
    <div>&#160;</div>
    <div style="text-indent: 27pt;">Securities to be registered pursuant to Section&#160;12(g) of the Act:</div>
    <div>&#160;</div>
    <div style="text-align: center; font-weight: bold;">Contingent Value Rights</div>
    <div style="text-align: center;">(Title of Class)</div>
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    <div style="text-align: center; font-weight: bold;">INFORMATION REQUIRED IN REGISTRATION STATEMENT</div>
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    <div><font style="font-weight: bold;">Item 1.</font>&#160;<font style="font-weight: bold;">Description of Registrant&#8217;s Securities to be Registered.</font></div>
    <div><br>
    </div>
    <div>The information required by this section is incorporated by reference to the section entitled &#8220;Description of the CVRs&#8221; contained in Amendment No. 1 to the registration statement on Form S-4 (File No. 333-250941) of Illumina, Inc., as filed with
      the Securities and Exchange Commission (the &#8220;SEC&#8221;) on February 5, 2021, and as declared effective <font style="color: #000000;">by the SEC on February 9, 2021 (the &#8220;Registration Statement&#8221;), and in the consent solicitation statement/prospectus
        relating to the Registration Statement filed separately with the SEC on February 9, 2021 pursuant to Rule 424(b) under the Securities Exchange Act of 1933, as amended.</font></div>
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    <div><font style="font-weight: bold;">Item 2.</font>&#160;<font style="font-weight: bold;">Exhibits.</font></div>
    <div><br>
    </div>
    <div>The following exhibits are incorporated herein by reference:</div>
    <div><br>
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            <div style="text-align: center; color: #000000; font-weight: bold;">Exhibit No.</div>
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            <div style="color: #000000;">&#160;&#160;</div>
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          <td style="width: 88.16%; vertical-align: bottom; border-bottom: #000000 2px solid;">
            <div style="text-align: center; color: #000000; font-weight: bold;">Description</div>
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          <td style="width: 8%; vertical-align: middle;">&#160;</td>
          <td colspan="2" style="vertical-align: middle;">&#160;</td>
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          <td style="width: 8%; vertical-align: top;">
            <div style="text-indent: -18pt; margin-left: 18pt; color: #000000;"><a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015720001121/ex2-1.htm">2.1</a></div>
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            <div><a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015720001121/ex2-1.htm"><font style="color: #000000;">Agreement and Plan of Merger, dated as of September 20, 2020, among Illumina, Inc., SDG Ops, Inc., SDG Ops, LLC and GRAIL,
                  Inc. (incorporated by reference to Exhibit 2.1 to Illumina, Inc.&#8217;s Current Report on Form 8-K filed on September 21, 2020</font>).*</a></div>
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            <div style="text-indent: -18pt; margin-left: 18pt; color: #000000;"><a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015721000121/ex2-1.htm">2.2</a></div>
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          <td style="width: 1%; vertical-align: top;"><br>
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            <div style="color: #000000;"><a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015721000121/ex2-1.htm">Amendment, dated as of February 4, 2021, to the Agreement and Plan of Merger dated as of September 20, 2020, among Illumina,
                Inc., SDG Ops, Inc., SDG OPS, LLC and GRAIL, Inc. (incorporated by reference to Exhibit 2.1 to Illumina, Inc&#8217;s Current Report on Form 8-K filed on February 4, 2021).</a></div>
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        <tr>
          <td style="width: 8%; vertical-align: top;">
            <div style="text-indent: -18pt; margin-left: 18pt; color: #000000;"><a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015721000850/ex4-1.htm">4.1</a></div>
          </td>
          <td style="width: 1%; vertical-align: bottom;"> <a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015721000850/ex4-1.htm"><br>
            </a> </td>
          <td style="width: 88.16%; vertical-align: top;">
            <div><a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015721000850/ex4-1.htm"><font style="color: #000000;">Contingent Value Rights Agreement, dated as of August 18, 2021, among Illumina, Inc., Computershare Trust Company, N.A.,
                  as Trustee, and Shareholder Representative Services LLC, as Holder Representative (incorporated by reference to Exhibit 4.1 to Illumina, Inc.&#8217;s Current Report on Form 8-K filed on August 18, 2021</font>)<font style="color: #000000;">.</font></a></div>
            <div><a href="https://www.sec.gov/Archives/edgar/data/1110803/000095015721000850/ex4-1.htm"><font style="color: #000000;"> <br>
                </font></a></div>
          </td>
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        <tr>
          <td colspan="3" style="vertical-align: middle;">
            <div style="color: #000000;">*Certain schedules and exhibits have been omitted pursuant to Item&#160;601(b)(2)&#160;of&#160;Regulation S-K.</div>
            <div style="color: #000000;">A copy of any omitted schedule or exhibit will be furnished supplementally to the SEC upon request.</div>
            <div>&#160;</div>
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    <div style="text-align: center; font-weight: bold;">SIGNATURES</div>
    <div>&#160;</div>
    <div style="text-indent: 54pt;">Pursuant to the requirements of Section&#160;12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereto duly authorized.</div>
    <div>&#160;</div>
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            <td style="width: 48.74%; vertical-align: top;">&#160;</td>
            <td colspan="2" style="width: 40.52%; vertical-align: bottom;">
              <div style="color: #000000;">ILLUMINA, INC.</div>
            </td>
            <td style="width: 10.74%; vertical-align: top;">&#160;</td>
          </tr>
          <tr>
            <td style="width: 48.74%; vertical-align: top;">&#160;</td>
            <td style="width: 6.78%; vertical-align: top;">&#160;</td>
            <td style="width: 33.74%; vertical-align: top;">&#160;</td>
            <td style="width: 10.74%; vertical-align: top;">&#160;</td>
          </tr>
          <tr>
            <td style="width: 48.74%; vertical-align: top; padding-bottom: 2px;">&#160;</td>
            <td style="width: 6.78%; vertical-align: top; padding-bottom: 2px;">
              <div style="color: #000000;">By:&#160;&#160;</div>
            </td>
            <td nowrap="nowrap" style="width: 33.74%; vertical-align: top; border-bottom: 2px solid rgb(0, 0, 0);">
              <div style="color: #000000;">/s/ Charles E. Dadswell</div>
            </td>
            <td style="width: 10.74%; vertical-align: top; padding-bottom: 2px;">&#160;</td>
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          <tr>
            <td style="width: 48.74%; vertical-align: top;">&#160;</td>
            <td style="width: 6.78%; vertical-align: top;">
              <div style="color: #000000;">Name:&#160;&#160;</div>
            </td>
            <td nowrap="nowrap" style="width: 33.74%; vertical-align: bottom;">
              <div style="color: #000000;">Charles E. Dadswell</div>
            </td>
            <td style="width: 10.74%; vertical-align: top;">&#160;</td>
          </tr>
          <tr>
            <td style="width: 48.74%; vertical-align: top;">&#160;</td>
            <td style="width: 6.78%; vertical-align: top;">
              <div style="color: #000000;">Title:&#160;&#160;</div>
            </td>
            <td style="width: 33.74%; vertical-align: top;">
              <div style="color: #000000;">Senior Vice President, General Counsel and Secretary</div>
            </td>
            <td style="width: 10.74%; vertical-align: top;">&#160;</td>
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    <div>Date: May 2, 2022</div>
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