-----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, B2DMuX1zl10lyyN/p4ajw9cCcunsSN1JvvsNPjqkU3PR8P2HpFMJXycI6SmVeZTo pdXeP3o+trM7q5EWrzMmtA== 0000950138-04-000292.txt : 20040401 0000950138-04-000292.hdr.sgml : 20040401 20040401163343 ACCESSION NUMBER: 0000950138-04-000292 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040330 FILED AS OF DATE: 20040401 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: 04710012 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 april1_goldberg-4ex.xml ACTIVIS\2004\APRIL FORM 4S\APRIL 1 GOLDBERG-4 X0201 4 2004-03-30 1 0000718877 ACTIVISION INC /NY ATVI 0001091427 GOLDBERG LAWRENCE C/O ACTIVISION, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA CA 90405 0 0 0 1 Former Ex VP-Worldwide Studios Common Stock, par value $.000001 per share 2004-03-30 4 M 0 30000 12.2711 A 32515 D Common Stock, par value $.000001 per share 2004-03-30 4 S 0 30000 15.8577 D 2515 D Employee Stock Options 12.2711 2004-03-30 4 M 0 30000 0 D 2002-10-01 2004-07-01 Common Stock 30000 37500 D The option vested in four equal semi-annual installments beginning on October 1, 2002. /s/ Lawrence Goldberg 2004-04-01 -----END PRIVACY-ENHANCED MESSAGE-----