Termination of Registration of a Class of Security Under Section 13 and 15(d) (15-15d)
01 April 2016 - 10:59PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15
CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION
UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934
OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
Commission File Numbers: 333-181781, 333-112311
AFFYMETRIX,
INC.
(Exact name of registrant as specified in its charter)
3420 Central Expressway
Santa Clara, California 95051
(408) 731-5000
(Address,
including zip code, and telephone number, including area code, of registrants principal executive offices)
4.00% Convertible
Senior Notes due 2019
0.75% Senior Convertible Notes due 2033
(Title of each class of securities covered by this Form)
Common Stock, $0.01 par value
Preferred Stock Purchase Rights
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:
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Rule 12g-4(a)(1)
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¨
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Rule 12g-4(a)(2)
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¨
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Rule 12h-3(b)(1)(i)
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x
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Rule 12h-3(b)(1)(ii)
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¨
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Rule 15d-6
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¨
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Approximate number of holders of record as of the certification or notice date:
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4.00% Convertible Senior Notes due 2019:
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23
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0.75% Senior Convertible Notes due 2033:
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0
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Pursuant to the requirements of the Securities Exchange Act of 1934, Affymetrix, Inc. has caused
this certification/notice to be signed on its behalf by the undersigned duly authorized person.
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Date: April 1, 2016
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Affymetrix, Inc.
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By:
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/s/ Seth H. Hoogasian
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Name:
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Seth H. Hoogasian
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Title:
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President and Secretary
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