-----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, LvVHA+yAwsDXQkaCpa3ZrdTlMCwZzRgRc2TJCsiM5G+cSfh51o3pym1CoGDnRVZR oMmtJvQHzt87CkS91rFNKg== 0000950138-04-000577.txt : 20040923 0000950138-04-000577.hdr.sgml : 20040923 20040923203007 ACCESSION NUMBER: 0000950138-04-000577 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040921 FILED AS OF DATE: 20040923 DATE AS OF CHANGE: 20040923 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: 041043772 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 sept21_henderson-4ex.xml X0202 4 2004-09-21 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 Director Stock Options 13.40 2004-09-21 4 A 0 12500 0 A 2005-03-21 2014-09-20 Common Stock 12500 12500 D The options vest in four equal semi-annual installments beginning on March 21, 2005. /s/ Kenneth L. Henderson 2004-09-23 -----END PRIVACY-ENHANCED MESSAGE-----