-----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, Lm2AXaHisBqu6k5NhadMjpQSo8pHg9vutKAkaNp6fEoFG4B3Tkbue61cYeEOpGQH EU2d8e2cncEpaO3bkBLIoQ== 0000950138-04-000125.txt : 20040212 0000950138-04-000125.hdr.sgml : 20040212 20040212163131 ACCESSION NUMBER: 0000950138-04-000125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040210 FILED AS OF DATE: 20040212 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: 04592079 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 feb11_goldberg-4ex.xml ACTIVIS\2004\FEB FORM 4S\FEB 11 GOLDBERG-4 X0201 4 2004-02-10 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 2004-02-10 4 M 0 16000 6.0555 A 18515 D Common Stock, par value $.000001 per share 2004-02-10 4 S 0 16000 19.95 D 2515 D Common Stock, par value $.000001 per share 2004-02-10 4 M 0 2000 6.0555 A 4515 D Common Stock, par value $.000001 per share 2004-02-10 4 S 0 2000 19.97 D 2515 D Common Stock, par value $.000001 per share 2004-02-10 4 M 0 2000 6.0555 A 4515 D Common Stock, par value $.000001 per share 2004-02-10 4 S 0 2000 19.99 D 2515 D Employee Stock Options 6.0555 2004-02-10 4 M 0 20000 0 D 2001-07-01 2004-08-01 Common Stock 20000 75000 D One-fifth of the option vested on July 1, 2001. One-tenth of the option vests every six months begining on January 1, 2002 for three years with the last one-fifth of the option vesting over the last six months. /s/ Lawrence Goldberg 2004-02-11 -----END PRIVACY-ENHANCED MESSAGE-----