-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VvZxgbI3KcPXtBbMUbUZR2oHOSYMhHBXQ6kKRcyVaffMSuXNWch86RKuRGY2SCHK HXYd+nG6w/9og6gmFRDdZQ== 0001179110-04-017341.txt : 20040831 0001179110-04-017341.hdr.sgml : 20040831 20040831151509 ACCESSION NUMBER: 0001179110-04-017341 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040830 FILED AS OF DATE: 20040831 DATE AS OF CHANGE: 20040831 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL SUSAN E CENTRAL INDEX KEY: 0001240363 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28218 FILM NUMBER: 041008223 MAIL ADDRESS: STREET 1: C/O AFFYMETRIX INC STREET 2: 3380 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: 3380 CENTRAL EXPRESSWAY CITY: SANTA CLARA STATE: CA ZIP: 95051 BUSINESS PHONE: 4085226000 MAIL ADDRESS: STREET 1: 3380 CENTRAL EXPRESSWAY CITY: SANTA CLARA STATE: CA ZIP: 95051 4 1 edgar.xml FORM 4 - X0202 4 2004-08-30 0 0000913077 AFFYMETRIX INC AFFX 0001240363 SIEGEL SUSAN E C/O AFFYMETRIX, INC. 3380 CENTRAL EXPRESSWAY SANTA CLARA CA 95051 1 1 0 0 President Common Stock 2004-08-30 4 S 0 10000 28.0659 D 0 D Common Stock 2004-08-30 4 M 0 10000 10.6407 A 10000 D Options to Purchase Common Stock 10.6407 2004-08-30 4 M 0 10000 0 A 2008-10-15 Common Stock 10000 8188 D 9,396 shares exercisable on each of 10/15/2001, 10/15/2002 and 10/15/2003. /s/ Susan E. Siegel 2004-08-31 -----END PRIVACY-ENHANCED MESSAGE-----