-----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, RDQXkRlv4dACtLQdcLLWGEo6fZz6rdpNng/tVPAKWKCjlGSz7UGWzVBPwP+XTIUD +kIZl58uNDU1khsfxTLRIA== 0000950138-04-000094.txt : 20040205 0000950138-04-000094.hdr.sgml : 20040205 20040205165239 ACCESSION NUMBER: 0000950138-04-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040203 FILED AS OF DATE: 20040205 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VRABECK KATHY P CENTRAL INDEX KEY: 0001093166 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 04570656 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: ACTIVISION INC STREET 2: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 4 1 feb4_vrabeck-4ex.xml ACTIVIS\2004\FEB 4 VRABECK-4 X0201 4 2004-02-03 0 0000718877 ACTIVISION INC /NY ATVI 0001093166 VRABECK KATHY P C/O ACTIVISION, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA CA 90405 0 1 0 0 President-Activision Publish'g Common Stock, par value $.000001 per share 2004-02-03 4 M 0 37500 3.8333 A 43411 D Common Stock, par value $.000001 per share 2004-02-03 4 S 0 37500 19.00 D 5911 D Employee Stock Options 3.8333 2004-02-03 4 M 0 37500 0 A 2001-02-03 2010-08-03 Common Stock 37500 33750 D One fifth of the option vested on February 3, 2001. One-tenth of the option vests every six months beginning on August 3, 2001 for three years with the last one-fifth of the option vesting on August 3, 2004. George L. Rose was granted a power of attorney to sign all Forms 4 and Forms 5 on behalf of Kathy P. Vrabeck. /s/ George L. Rose (Attorney-In-Fact) 2004-02-05 -----END PRIVACY-ENHANCED MESSAGE-----