-----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, GAG+00vdGPgZZpm5fn/ky3kXjT3jB9Ju48KpH7sI4sZO7GyqbteUKZI/pdwd5VKR 9q3e76VvmBXamHsRvhHh5g== 0000950138-04-000102.txt : 20040210 0000950138-04-000102.hdr.sgml : 20040210 20040210190655 ACCESSION NUMBER: 0000950138-04-000102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040206 FILED AS OF DATE: 20040210 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: GOLDBERG LAWRENCE CENTRAL INDEX KEY: 0001091427 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: 04583424 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: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 4 1 feb10_goldberg-4ex.xml ACTIVIS\2004\FEB 10 GOLDBERG-4 X0201 4 2004-02-06 1 0000718877 ACTIVISION INC /NY ATVI 0001091427 GOLDBERG LAWRENCE C/O ACTIVISION, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA CA 90405 0 0 0 1 Former Ex VP-Worldwide Studios Common Stock, par value $.000001 per share 2004-02-06 4 M 0 25000 5.9444 A 27515 D Common Stock, par value $.000001 per share 2004-02-06 4 S 0 25000 19.35 D 2515 D Common Stock, par value $.000001 per share 2004-02-06 4 M 0 1000 5.9444 A 3515 D Common Stock, par value $.000001 per share 2004-02-06 4 S 0 1000 19.62 D 2515 D Common Stock, par value $.000001 per share 2004-02-06 4 M 0 1000 5.9444 A 3515 D Common Stock, par value $.000001 per share 2004-02-06 4 S 0 1000 19.67 D 2515 D Common Stock, par value $.000001 per share 2004-02-06 4 M 0 1000 5.9444 A 3515 D Common Stock, par value $.000001 per share 2004-02-06 4 S 0 1000 19.64 D 2515 D Common Stock, par value $.000001 per share 2004-02-06 4 M 0 9500 5.9444 A 12015 D Common Stock, par value $.000001 per share 2004-02-06 4 S 0 9500 19.60 D 2515 D Common Stock, par value $.000001 per share 2004-02-06 4 M 0 4100 4.5555 A 6615 D Common Stock, par value $.000001 per share 2004-02-06 4 S 0 4100 19.60 D 2515 D Employee Stock Options 5.9444 2004-02-06 4 M 0 37500 0 D 2001-04-01 2004-08-01 Common Stock 37500 37500 D Employee Stock Options 4.5555 2004-02-06 4 M 0 4100 0 D 1999-06-11 2004-08-01 Common Stock 4100 0 D One third of the option vested on April 1, 2001. The remainder of the option vests in three equal annual installments beginning on April 1, 2002. George L. Rose was granted a power of attorney to sign all Forms 4 and Forms 5 on behalf of Lawrence Goldberg /s/ George L. Rose (Attorney-In-Fact) 2004-02-09 -----END PRIVACY-ENHANCED MESSAGE-----