0001193125-12-110000 Sample Contracts

ILLUMINA, INC.
Stock and Incentive Plan • March 12th, 2012 • Illumina Inc • Laboratory analytical instruments

This PERFORMANCE STOCK UNIT AGREEMENT (this “Agreement”) made as of this day of , 2012, between Illumina, Inc., a Delaware corporation (the “Company”), and (the “Participant”), is made pursuant to the terms of the Company’s 2005 Stock and Incentive Plan (the “Plan).

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