0001140361-11-026060.txt : 20110509
0001140361-11-026060.hdr.sgml : 20110509
20110509180745
ACCESSION NUMBER: 0001140361-11-026060
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: NACHTSHEIM JAMI K
CENTRAL INDEX KEY: 0001223017
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28218
FILM NUMBER: 11824831
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
0001223017
NACHTSHEIM JAMI K
C/O AFFYMETRIX, INC.
3420 CENTRAL EXPRESSWAY
SANTA CLARA
CA
95051
1
0
0
0
Common Stock
2011-05-05
4
A
0
5750
0
A
16583
D
Option to Purchase Common Stock
5.88
2011-05-05
4
A
0
10000
0
A
2018-05-05
Common Stock
10000
10000
D
Restricted stock units vest in equal annual installments over three years from the grant date.
Option becomes exercisable the earlier of (1) the 2012 Annual Stockholders' Meeting of Affymetrix, Inc. or (2) the one year anniversay of the grant date.
/s/ Siang H. Chin, Attorney-in-fact for Jami K. Nachtsheim
2011-05-09