FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ACTIVISION INC /NY [ ATVI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/09/2005 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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, par value $.000001 per share | 02/09/2005 | M | 83,750 | A | $2.5185 | 180,189 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 56,250 | A | $3.1289 | 236,439 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 675,000 | A | $3.1289 | 911,439 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 101,250 | A | $6.1852 | 1,012,689 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 150,000 | A | $6.2978 | 1,162,689 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | S | 1,066,250 | D | $23.06 | 96,439 | D(1) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: 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 | ||||||||
Employee Stock Options | $2.5185 | 02/09/2005 | M | 83,750 | (2) | 08/01/2010 | Common Stock | 83,750 | $0 | 0 | D | ||||
Employee Stock Options | $3.1289 | 02/09/2005 | M | 56,250 | (3) | 04/30/2009 | Common Stock | 56,250 | $0 | 0 | D | ||||
Employee Stock Options | $3.1289 | 02/09/2005 | M | 675,000 | (4) | 04/30/2009 | Common Stock | 675,000 | $0 | 0 | D | ||||
Employee Stock Options | $6.1852 | 02/09/2005 | M | 101,250 | (5) | 04/04/2011 | Common Stock | 101,250 | $0 | 0 | D | ||||
Employee Stock Options | $6.2978 | 02/09/2005 | M | 150,000 | (6) | 10/26/2008 | Common Stock | 150,000 | $0 | 300,000 | D |
Explanation of Responses: |
1. The filer's previous two Form 4 filings on EDGAR did to take into account a 3:2 stock split of the Company's stock occurring on March 16, 2004. Of the reported shares owned by the Filer, 6,439 were purchased through the company's employee stock purchase plan; purchases under Section 423 Plans, such as the Company's employee stock purchase plan, are exempt from Section 16(b) under Rule 16b-3(c). |
2. The options vested on the fifth anniversary of the date of grant, subject to acceleration in the event certain earning per share and other targets are achieved. |
3. The options vested in three equal installments beginning on April 1, 2000. |
4. The options vested in four equal annual installments beginning on March 31, 2000. |
5. The options vested in four equal installments of 10,000 shares on each 10/1/01, 4/1/02, 10/1/02 and 4/1/03. |
6. The options vested as follows: 25,000 shares on 10/26/98; 83,334 shares on 10/27/99; 58,333 shares on 10/27/00; and 33,333 shares on 10/27/01. |
Remarks: |
George L. Rose was granted a power of attorney to sign all Forms 4 and Forms 5 on behalf of Ronald Doornink. |
/s/ George L. Rose (Attorney-In-Fact) | 02/11/2005 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |