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FORM 8-A
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
Illumina, Inc.
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(Exact name of Registrant as specified in its charter)
California (before reincorporation)
Delaware (after reincorporation) 33-0804655
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(State of Incorporation or organization) (I.R.S. Employer Identification No.)
9390 Towne Center Drive, Suite 200, San Diego, CA 92121
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(Address of principal executive offices) (Zip Code)
Securities to be registered pursuant to Section 12(b) of the Act:
NONE
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Securities to be registered pursuant to Section 12(g) of the Act:
COMMON STOCK, $0.01 PAR VALUE
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Item 1. Description of Registrant's Securities to be Registered.
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Incorporated by reference to Description of Capital Stock section and
Shares Eligible for Future Sales sections on pages 47 to 52 of the
Registrant's Registration Statement on Form S-1 filed with the Securities
and Exchange Commission on March 1, 2000, as amended (file number 333-
33922) (the "S-1 Registration Statement").
Item 2. Exhibits.
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The following exhibit is filed as a part of this Registration Statement:
*1.1 Form of Registrant's Common Stock Certificate
*2.1 Form of Restated Certificate of Incorporation of Registrant to be
filed with the Secretary of State of Delaware upon closing of the
Registrant's initial public offering.
*2.2 Form of Bylaws of Registrant to be in effect upon closing of the
Registrant's initial public offering.
*2.3 Restated Investor Rights Agreement dated December 16, 1999 between
Registrant and certain stockholders.
* Incorporated by reference to the Exhibits in the S-1 Registration Statement.
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SIGNATURE
Pursuant to the requirements of Section 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.
Dated: April 14, 2000 Illumina, Inc.
By: /s/ Jay Flatley
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Jay Flatley
Chief Executive Officer
