0001140361-11-054343.txt : 20111121 0001140361-11-054343.hdr.sgml : 20111121 20111118163440 ACCESSION NUMBER: 0001140361-11-054343 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111117 FILED AS OF DATE: 20111118 DATE AS OF CHANGE: 20111118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARABE TIMOTHY C CENTRAL INDEX KEY: 0001237409 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28218 FILM NUMBER: 111216459 MAIL ADDRESS: STREET 1: SANDOZ WAGRAMER STRASSE 19 CITY: VIENNA AUSTRIA STATE: C3 ZIP: 9999999999 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 X0304 4 2011-11-17 0 0000913077 AFFYMETRIX INC AFFX 0001237409 BARABE TIMOTHY C C/O AFFYMETRIX, INC. 3420 CENTRAL EXPRESSWAY SANTA CLARA CA 95051 0 1 0 0 Chief Financial Officer Common Stock 2011-11-17 4 A 0 45000 4.85 A 156774 D Option to Purchase Common Stock 4.85 2011-11-17 4 A 0 50000 0 A 2018-11-17 Common Stock 50000 50000 D Restricted stock units vest in equal annual installments over four years from the grant date of November 17, 2011. Stock option becomes exercisable in equal annual installments over four years from the grant date of November 17, 2011. /s/ Siang H. Chin, Attorney-in-Fact for Timothy C. Barabe 2011-11-18