-----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, FApS1WS7rYX5M5YGFJOEIOkNOewCFPS9RQkVThLzgssUU/BAzOH2in5OXItbRm+d M2eK7jmlp/AwLWbbAoMnkQ== 0000910643-01-500054.txt : 20010612 0000910643-01-500054.hdr.sgml : 20010612 ACCESSION NUMBER: 0000910643-01-500054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010531 FILED AS OF DATE: 20010611 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-15839 FILM NUMBER: 1658218 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 COMPANY DATA: COMPANY CONFORMED NAME: KELLY BRIAN G CENTRAL INDEX KEY: 0001091425 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] OFFICER STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 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 file001.htm \ACTIVIS\JUNE KELLY-4\ Form 4


                                               U.S. SECURITIES AND EXCHANGE COMMISSION
                                                       Washington, D.C. 20549

                                                               FORM 4

                                            STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

                               Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
                                   Section 17(a) of the Public Utility Holding Company Act of 1935
                                       or Section 30(f) of the Investment Company Act of 1940

1. Name and Address of Reporting Person*    2. Issuer Name and Ticker or Trading Symbol       6.  Relationship of Reporting Person
   Kelly             Brian            G.       Activision, Inc. (ATVI)                            to Issuer (Check all applicable)
__________________________________________  _____________________________________________     _X_ Director      _X_ 10% Owner
                                                                                              _X_ Officer (give ___ Other (Specify
  (Last)          (First)         (Middle)  3. IRS or Social        4. Statement for              title below)      below)
   c/o Activision, Inc.                        Security Number         Month/Year             Co-Chairman
   3100 Ocean Park Boulevard                   of Reporting Person     May 2001
__________________________________________     (Voluntary)          ______________________________________________________________
                 (Street)
                                                                    5. If Amendment, Date of  7. Individual or Joint/Group Filing
   Santa Monica   California       90405                               Original (Month/Year)     (Check applicable line)
__________________________________________                                                    _X_ Form Filed by One Reporting Person
  (City)          (State)          (Zip)                                                      ___ Form Filed by More Than One
                                                                                                  Reporting Person


                                            Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

                                                                                     5. Amount of
                                          3. Trans-    4.  Securities Acquired (A)      Securities
                              2. Trans-      action        or Disposed of (D)           Beneficially  6. Ownership
                                 action      Code          (Instr. 3, 4 and 5)          Owned at         Form:         7. Nature of
                                 Date        (Instr.   ---------------------------      End of           Direct(D)        Indirect
                                 (Month/       8)                  (A)                  Month               or            Beneficial
1.  Title of Security            Day/                   Amount      or     Price        (Instr.          Indirect(I)      Ownership
    (Instr.3)                    Year)                             (D)                  3 and 4)         (Instr. 4)      (Instr. 4)
- ----------------------------- ---------   ----------   --------    ---    --------   ------------     -------------    ------------

Common Stock, par value
     $.000001 per share          5/14/01     M          5,996        A      $6.125
Common Stock, par value
     $.000001 per share          5/14/01     S          5,996        D     $28.06823
Common Stock, par value
     $.000001 per share          5/14/01     M         34,004        A      $6.00
Common Stock, par value
     $.000001 per share          5/14/01     S         34,004        D     $28.06823
Common Stock, par value
     $.000001 per share          5/15/01     M         10,000        A      $6.125
Common Stock, par value
     $.000001 per share          5/15/01     S         10,000        D     $27.29605
Common Stock, par value
     $.000001 per share          5/16/01     M         31,100        A      $6.125
Common Stock, par value
     $.000001 per share          5/16/01     S         31,100        D     $28.63309
Common Stock, par value
     $.000001 per share          5/22/01     M         68,900        A      $6.125
Common Stock, par value
     $.000001 per share          5/22/01     S         68,900        D     $29.85082
Common Stock, par value
     $.000001 per share          5/23/01     M         50,000        A      $6.125
Common Stock, par value
     $.000001 per share          5/23/01     S         50,000        D     $31.02636
Common Stock, par value
     $.000001 per share          5/25/01     M         50,000        A       $6.125
Common Stock, par value
     $.000001 per share          5/25/01     S         50,000        D     $34.01876         186,091         D
                                                                                              25,773         I           (1)


* If the form is filed by more than one Reporting Person, see Instruction 4(b)(v).
Reminder:  Report on a separate line for each class of securities beneficially owned directly or indirectly.

                                                             (Print or Type Responses)                                   Page 1 of 2


                   Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
                                   (e.g., puts, calls, warrants, options, convertible securities)

                                       2. Conver-                              5. Number of Deriv-        6. Date Exercisable
                                          sion or    3. Trans-   4. Trans-        ative Securities           and Expiration Date
                                          Exercise      action      action        Acquired (A) or            (Month/Day/Year)
                                          Price of      Date        Code          Disposed of (D)         -----------------------
                                          Deriv-        (Month/    (Instr. 8)     (Instr. 3, 4, and 5)    Date
1. Title of Derivative Security           ative         Day/     -----   ----  -----------------------    Exercis-     Expiration
   (Instr. 3)                             Security      Year)     Code     V        (A)       (D)         able         Date
- ----------------------------------     -----------   ----------  ------------  ----------- -----------    ----------   ----------
Employee Stock Options                    $6.125       5/14/01      M                          5,996       5/22/00(2)   5/22/10
Employee Stock Options                    $6.00        5/14/01      M                         34,004       8/10/00      4/18/10
Employee Stock Options                    $6.125       5/15/01      M                         10,000       5/22/00(2)   5/22/10
Employee Stock Options                    $6.125       5/16/01      M                         31,100       5/22/00(2)   5/22/10
Employee Stock Options                    $6.125       5/22/01      M                         68,900       5/22/00(2)   5/22/10
Employee Stock Options                    $6.125       5/23/01      M                         50,000       5/22/00(2)   5/22/10
Employee Stock Options                    $6.125       5/25/01      M                         50,000       5/22/00(2)   5/22/10


                                                                          9. Number of    10. Ownership Form
                                                                             Derivative       of Deriv-
                                                                             Securities       ative
                        7. Title and Amount of Underlying                    Benefi-          Security:
                           Securities (Instr. 3 and 4)                       cially           Direct       11. Nature of
                        ---------------------------------  8. Price of       Owned            (D) or           Indirect
                                                Amount or     Derivative     at End           Indirect         Beneficial
1. Title of Derivative          Title           Number of     Security       of Month         (I)              Ownership
   Security (Instr. 3)                          Shares        (Instr. 5)     (Instr. 4)       (Instr. 4)       (Instr. 4)
- ----------------------  --------------------    ---------  -------------  -------------   --------------   --------------
Employee Stock Options      Common Stock          5,996        $6.125
Employee Stock Options      Common Stock         34,004        $6.00
Employee Stock Options      Common Stock         10,000        $6.125
Employee Stock Options      Common Stock         31,100        $6.125
Employee Stock Options      Common Stock         68,900        $6.125
Employee Stock Options      Common Stock         50,000        $6.125
Employee Stock Options      Common Stock         50,000        $6.125         2,948,486          D


Explanation of Responses:

(1)  Includes 7,032 shares of Common Stock transferred by the reporting person to an irrevocable trust for the benefit of reporting
     person's minor children. The reporting person does not exercise or share investment control over such shares.  The reporting
     person disclaims beneficial ownership of such shares, and this report shall not be deemed an admission that the reporting
     person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose.  Also includes 18,741 shares
     held by Delmonte Investments LLC, of which the reporting person is a member.
(2)  The options vested as to 250,000 shares on 5/22/00 and vest as to the remaining 750,000 shares in 36 equal monthly installments
     beginning on 6/22/00.

                                                                                /s/ Brian G. Kelly                  6/6/01
**Intentional misstatements or omissions of facts constitute                    -------------------------------   ----------
  Federal Criminal Violations.  See 18 U.S.C. 1001 and                          **Signature of Reporting Person      Date
  15 U.S.C. 78ff(a).

Note:  File three copies of this Form, one of which must be manually signed.
       If space provided is insufficient, see Instruction 6 for procedure.
                                                                                                                         Page 2 of 2
                                                                                                                     SEC 1474 (8-92)
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