0001140361-12-005898.txt : 20120207 0001140361-12-005898.hdr.sgml : 20120207 20120207162924 ACCESSION NUMBER: 0001140361-12-005898 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120206 FILED AS OF DATE: 20120207 DATE AS OF CHANGE: 20120207 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: 12578254 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 X0304 4 2012-02-06 0 0000913077 AFFYMETRIX INC AFFX 0001240360 FODOR STEPHEN P A AFFYMETRIX, INC. 3420 CENTRAL EXPRESSWAY SANTA CLARA CA 95051 1 0 0 0 Common Stock 2012-02-06 4 F 0 7850 5.18 D 182210 D Common Stock 30000 I By trust Represents the number of shares withheld by Affymetrix, Inc. to cover the tax liability resulting from the scheduled vesting of a restricted stock award previously granted. /s/ Siang H. Chin, Attorney-in-Fact for Stephen P.A. Fodor 2012-02-07