0001140361-11-026057.txt : 20110509
0001140361-11-026057.hdr.sgml : 20110509
20110509180401
ACCESSION NUMBER: 0001140361-11-026057
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110505
FILED AS OF DATE: 20110509
DATE AS OF CHANGE: 20110509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FODOR STEPHEN P A
CENTRAL INDEX KEY: 0001240360
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28218
FILM NUMBER: 11824821
MAIL ADDRESS:
STREET 1: C/O AFFYMETRIX INC
STREET 2: 3420 CENTRAL EXPRESSWAY
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AFFYMETRIX INC
CENTRAL INDEX KEY: 0000913077
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
IRS NUMBER: 770319159
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3420 CENTRAL EXPRESSWAY
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
BUSINESS PHONE: 4087315000
MAIL ADDRESS:
STREET 1: 3420 CENTRAL EXPRESSWAY
CITY: SANTA CLARA
STATE: CA
ZIP: 95051
4
1
doc1.xml
FORM 4
X0303
4
2011-05-05
0
0000913077
AFFYMETRIX INC
AFFX
0001240360
FODOR STEPHEN P A
C/O AFFYMETRIX, INC.
3420 CENTRAL EXPRESSWAY
SANTA CLARA
CA
95051
1
0
0
0
Option to Purchase Common Stock
5.88
2011-05-05
4
A
0
30000
0
A
2018-05-05
Common Stock
30000
30000
D
Option becomes exercisable the earlier of (1) the 2012 Annual Stockholders' Meeting of Affymetrix, Inc. or (2) the one year anniversary of the grant date.
/s/ Siang H. Chin, Attorney-in-Fact for Stephen P.A. Fodor
2011-05-09