0001179110-12-014181.txt : 20120917
0001179110-12-014181.hdr.sgml : 20120917
20120917211225
ACCESSION NUMBER: 0001179110-12-014181
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120913
FILED AS OF DATE: 20120917
DATE AS OF CHANGE: 20120917
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Orwin John A
CENTRAL INDEX KEY: 0001477384
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33213
FILM NUMBER: 121096021
MAIL ADDRESS:
STREET 1: C/O NEUROGESX INC
STREET 2: 2215 BRIDGEPOINTE PARKWAY SUITE 200
CITY: SAN MATEO
STATE: CA
ZIP: 94040
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AFFYMAX INC
CENTRAL INDEX KEY: 0001158223
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4001 MIRANDA AVE
CITY: PALO ALTO
STATE: CA
ZIP: 94304
BUSINESS PHONE: 650-812-8700
MAIL ADDRESS:
STREET 1: 4001 MIRANDA AVE.
CITY: PALO ALTO
STATE: CA
ZIP: 94304
4
1
edgar.xml
FORM 4 -
X0306
4
2012-09-13
0
0001158223
AFFYMAX INC
AFFY
0001477384
Orwin John A
C/O AFFYMAX, INC.
4001 MIRANDA AVE.
PALO ALTO
CA
94304
1
1
0
0
CEO
Common Stock
2012-09-13
4
M
0
37497
6.90
A
129497
D
Common Stock
2012-09-13
4
M
0
11500
5.83
A
140997
D
Common Stock
2012-09-13
4
S
0
48997
20.00
D
92000
D
Stock Option (Right to Buy)
5.83
2012-09-13
4
M
0
11500
0.00
D
2020-09-21
Common Stock
11500
45500
D
Stock Option (Right to Buy)
6.90
2012-09-13
4
M
0
37497
0.00
D
2021-01-31
Common Stock
37497
225007
D
The shares reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
The shares vest and become exercisable in a series of forty-eight (48) successive equal monthly installments over the four (4) year period measured from September 22, 2010.
The shares vest and become exercisable in a series of forty-eight (48) successive equal monthly installments over the four (4) year period measured from February 1, 2011.
/s/ Grace U. Shin, Attorney-in-fact
2012-09-17