-----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, OrMGGgHYsqdaAAyUSIuVzuYUBNGbayvUWAqcwwDBYQsNDHQPMiUbknWd3Y8tf8QM FurPgS+wjUR7mHFIEj1wYQ== 0000950138-03-000729.txt : 20031231 0000950138-03-000729.hdr.sgml : 20031231 20031231160811 ACCESSION NUMBER: 0000950138-03-000729 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031229 FILED AS OF DATE: 20031231 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: MAYER STEVEN T CENTRAL INDEX KEY: 0001091431 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: 031080682 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 dec_mayer-4ex.xml X0201 4 2003-12-29 1 0000718877 ACTIVISION INC /NY ATVI 0001091431 MAYER STEVEN T 3100 OCEAN PARK BLVD STE 1000 SANTA MONICA CA 90405 0 0 0 1 Former Director Common Stock, par value $.000001 per share 2003-12-29 4 M 0 20000 2.8888 A 20322 D Common Stock, par value $.000001 per share 2003-12-29 4 S 0 20000 18.70 D 322 D Common Stock, par value $.000001 per share 2003-12-29 4 M 0 20500 2.8888 A 20822 D Common Stock, par value $.000001 per share 2003-12-29 4 S 0 20500 18.7345 D 322 D Employee Stock Options 2.8888 2003-12-29 4 M 0 40500 0 D 2001-05-19 2010-05-18 Common Stock 40500 0 D The option vested in three equal annual installments beginning on May 19, 2001. /s/ Steven T. Mayer 2003-12-30 -----END PRIVACY-ENHANCED MESSAGE-----