Ownership Submission
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
Thomson Euan
   2. Issuer Name and Ticker or Trading Symbol
ACCURAY INC [ARAY] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
President & CEO
(Last)
(First)
(Middle)
1310 CHESAPEAKE TERRACE		 3. Date of Earliest Transaction (Month/Day/Year)
04/21/2010
(Street)

SUNNYVALE, CA 94089		 4. If Amendment, Date Original Filed(Month/Day/Year)
 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)		 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)		 4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)		 5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)		 6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)		 7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 04/21/2010   M   12,500 A $ 0.75 37,500 D  
Common Stock 04/21/2010   S(1)   12,500 D $ 6.39 (2) 25,000 D  
Common Stock 04/21/2010   M   5,833 A $ 0.75 30,833 D  
Common Stock 04/21/2010   M   4,167 A $ 0.75 35,000 D  

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)		 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code
(Instr. 8)		 5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)		 6. Date Exercisable and Expiration Date
(Month/Day/Year)		 7. Title and Amount of Underlying Securities
(Instr. 3 and 4)		 8. Price of Derivative Security
(Instr. 5)		 9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)		 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)		 11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (right to buy) $ 0.75 04/21/2010   M     12,500   (3) 03/28/2012 Common Stock 12,500 $ 0 349,999 D  
Incentive Stock Option (right to buy) $ 0.75 04/21/2010   M     4,167   (3) 03/28/2012 Common Stock 4,167 $ 0 345,832 D  
Incentive Stock Option (right to buy) $ 0.75 04/21/2010   M     5,833   (3) 07/09/2013 Common Stock 5,833 $ 0 0 D  

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
Thomson Euan
1310 CHESAPEAKE TERRACE
SUNNYVALE, CA 94089		   X     President & CEO  

Signatures

 Euan S. Thomson   04/21/2010
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) A portion of these options are being sold so that a portion of the proceeds may be used to increase the CEO's ownership of Accuray stock in anticipation of the adoption of stock ownership guidelines for management by the Board of Directors of Accuray Incorporated in fiscal year 2011.
(2) A total of 12,500 shares were sold pursuant to a 10b5-1 Plan, at an average sale price of $6.39 per share. The actual sale price for the shares was: 500 shares at $6.31; 800 shares at $6.32; 1,700 shares at $6.33; 300 shares at $6.34; 100 shares at $6.345; 400 shares at $6.35; 500 shares at $6.36; 600 shares at $6.37; 1,688 shares at $6.38; 712 shares at $6.39; 300 shares at $6.40; 1,000 shares at $6.41; 800 shares at $6.42; 800 shares at $6.43; 100 shares at $6.44; 200 shares at $6.45; 400 shares at $6.46; 300 shares at $6.47; 700 shares at $6.48; 300 shares at $6.49; and 300 shares at $6.51.
(3) The options are exercisable as they vest. A total of 25% of the entire number of shares subject to this stock option becomes vested and fully exercisable on the first anniversary of the vesting commencement date and the remaining shares subject to this stock option vest and become exercisable in equal monthly installments, ratably over the following 36 months.

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