FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ACTIVISION INC /NY [ ATVI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/09/2005 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 50,625 | A | $6.1852 | 58,118 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 84,375 | A | $3.6296 | 142,493 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 50,623 | A | $2.5556 | 193,116 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 56,250 | A | $9.6978 | 249,366 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 20,627 | A | $6.4578 | 269,993 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 18,754 | A | $6.4578 | 288,747 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | M | 22,500 | A | $6.4578 | 311,247 | D(1) | |||
Common Stock, par value $.000001 per share | 02/09/2005 | S | 303,754 | D | $23.06 | 7,493 | D(1) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Options | $6.1852 | 02/09/2005 | M | 50,625 | (2) | 04/04/2011 | Common Stock | 50,625 | $0 | 0 | D | ||||
Employee Stock Options | $3.6296 | 02/09/2005 | M | 84,375 | (3) | 08/05/2009 | Common Stock | 84,375 | $0 | 0 | D | ||||
Employee Stock Options | $2.5556 | 02/09/2005 | M | 50,623 | (4) | 08/03/2010 | Common Stock | 50,623 | $0 | 0 | D | ||||
Employee Stock Options | $9.6978 | 02/09/2005 | M | 56,250 | (5) | 10/02/2012 | Common Stock | 56,250 | $0 | 168,750 | D | ||||
Employee Stock Options | $6.4578 | 02/09/2005 | M | 20,627 | (6) | 03/20/2013 | Common Stock | 20,627 | $0 | 28,873 | D | ||||
Employee Stock Options | $6.4578 | 02/09/2005 | M | 18,754 | (7) | 03/20/2013 | Common Stock | 18,754 | $0 | 26,246 | D | ||||
Employee Stock Options | $6.4578 | 02/09/2005 | M | 22,500 | (8) | 03/20/2013 | Common Stock | 22,500 | $0 | 90,000 | D |
Explanation of Responses: |
1. The Filer also indirectly owns 6,000 shares of Common Stock by virtue of reporting person's spouse's ownership of 6,000 shares of Company Common Stock. |
2. The options vested in four equal installments semiannually, beginning on 10/1/01, except that the vesting of the third and fourth installments could have been accelerated. |
3. The options vested annually in three equal installments beginning on 8/5/00. |
4. The options vested 20% on 2/3/01; 10% on each of 8/3/01, 2/3/02, 8/3/02, 2/3/03, 8/3/03, and 2/3/04; and 20% on 8/3/04. |
5. The options vest in four equal installments beginning on 4/1/04, however, the fourth installment may vest on an accelerated basis if certain earnings and other financial goals are met. |
6. 26,627 of the options have vested. The original option grant provided one half of the such options would vest in three equal annual installments beginning on 4/1/04. The second half of the option will vest on April 1, 2009, but may vest on an accelerated basis if certain earning and other financial goals were met. |
7. 18,754 of the options have vested. The original option grant provided one half of the such options would vest in three equal annual installments beginning on 4/1/04. The second half of the option will vest on April 1, 2009, but may vest on an accelerated basis if certain earning and other financial goals were met. |
8. 22,500 of the options have vested. The original options granted provided that such options would vest in five equal annual installments beginning on April 1, 2004. |
Remarks: |
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) | 02/11/2005 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |