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