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