-----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, Dv/FLUYcX8mDNtwspD1dWE2UeQ6dyvHThKr4fCvHuBtBqSWoVIMjSVFj0/+iqjCZ TBd+B4wZHosyaHQTMLjs/Q== 0000950138-03-000720.txt : 20031223 0000950138-03-000720.hdr.sgml : 20031223 20031223162412 ACCESSION NUMBER: 0000950138-03-000720 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031219 FILED AS OF DATE: 20031223 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: 031071355 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 goldberg-4_ex.xml X0201 4 2003-12-19 1 0000718877 ACTIVISION INC /NY ATVI 0001091427 GOLDBERG LAWRENCE 3100 OCEAN PARK BLVD STE 1000 SANTA MONICA CA 90405 0 0 0 1 Former Ex VP-Worldwide Studios Common Stock, par value $.000001 per share 2003-12-19 4 M 0 42000 2.6667 A 44515 D Common Stock, par value $.000001 per share 2003-12-19 4 S 0 42000 18.50 D 2515 D Common Stock, par value $.000001 per share 2003-12-19 4 M 0 3000 2.6667 A 5515 D Common Stock, par value $.000001 per share 2003-12-19 4 S 0 3000 18.77 D 2515 D Common Stock, par value $.000001 per share 2003-12-19 4 M 0 5000 2.6667 A 7515 D Common Stock, par value $.000001 per share 2003-12-19 4 S 0 5000 18.81 D 2515 D Employee Stock Options 2.6667 2003-12-19 4 M 0 50000 0 D 2000-04-18 2010-04-17 Common Stock 50000 16750 D One fifth of the option vested on April 18, 2000. The rest of the option vested in three equal annual installments beginning on March 31, 2001. /s/ Lawrence Goldberg 2003-12-22 -----END PRIVACY-ENHANCED MESSAGE-----