-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SmegRLfnnVObTMnuUHwGCqh6HXsneRwmXOFPfoyTfuCpyHjvHGoFeNbABjMCHMhl b+9zxeDucafbAmBuRf/HtA== 0000950138-04-000523.txt : 20040816 0000950138-04-000523.hdr.sgml : 20040816 20040816174411 ACCESSION NUMBER: 0000950138-04-000523 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040812 FILED AS OF DATE: 20040816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HENDERSON KENNETH CENTRAL INDEX KEY: 0001144804 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MISCELLANEOUS NONDURABLE GOODS [5190] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 04980168 BUSINESS ADDRESS: STREET 1: C/O ACTIVISION INC STREET 2: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 MAIL ADDRESS: STREET 1: C/O ACTIVISION INC STREET 2: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACTIVISION INC /NY CENTRAL INDEX KEY: 0000718877 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 954803544 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 3100 OCEAN PARK BLVD STREET 2: STE 1000 CITY: SANTA MONICA STATE: CA ZIP: 90405 BUSINESS PHONE: 3102552000 MAIL ADDRESS: STREET 1: 11601 WILSHIRE BLVD 3RD FL STREET 2: STE 1000 CITY: LOS ANGELES STATE: CA ZIP: 90025 FORMER COMPANY: FORMER CONFORMED NAME: MEDIAGENIC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ACTIVISION INC DATE OF NAME CHANGE: 19880829 4 1 aug12_henderson-4ex.xml /DATA/ACTIVIS/2004FILINGS/AUG12_HENDERSON X0202 4 2004-08-12 0 0000718877 ACTIVISION INC /NY ATVI 0001144804 HENDERSON KENNETH C/O BRYAN CAVE LLP 1290 AVENUE OF THE AMERICAS NEW YORK NY 10104 1 0 0 0 Common Stock, par value $.000001 per share 2004-08-12 4 P 0 1000 13.14 A 3687 D /s/ Kenneth L. Henderson 2004-08-12 -----END PRIVACY-ENHANCED MESSAGE-----