Extreme near-horizon geometries in D=11 supergravity preserving four supersymmetries are classified. It is shown that the Killing spinors fall into three possible orbits, corresponding to pairs of spinors defined on the spatial cross-sections of the horizon which have isotropy groups SU(3), G2, or SU(4). In each case, the conditions on the geometry and the 4-form flux are determined. The integrability conditions obtained from the Killing spinor equations are also investigated.