0001140361-12-025527.txt : 20120515
0001140361-12-025527.hdr.sgml : 20120515
20120515171246
ACCESSION NUMBER: 0001140361-12-025527
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120511
FILED AS OF DATE: 20120515
DATE AS OF CHANGE: 20120515
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GUTHART GARY S
CENTRAL INDEX KEY: 0001280628
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28218
FILM NUMBER: 12845935
MAIL ADDRESS:
STREET 1: C/O INTUITIVE SURGICAL INC
STREET 2: 1266 KIFER RD
CITY: SUNNYVALE
STATE: CA
ZIP: 94086
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
X0305
4
2012-05-11
0
0000913077
AFFYMETRIX INC
AFFX
0001280628
GUTHART GARY S
C/O AFFYMETRIX, INC.
3420 CENTRAL EXPRESSWAY
SANTA CLARA
CA
95051
1
0
0
0
Option to Purchase Common Stock
5.07
2012-05-11
4
A
0
20000
0
A
2019-05-11
Common Stock
20000
20000
D
Option becomes exercisable the earlier of (1) the 2013 Annual Stockholders' Meeting of Affymetrix, Inc. or (2) the one year anniversary of the grant date of May 11, 2012.
/s/ Siang H. Chin, Attorney-in-Fact for Gary S. Guthart
2012-05-15