-----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, D/YVq8uT+EBfHIo0V57wQrFf+45M+loXUnaWT/45S++P9mmLxq3zcj09EHvzp604 4JyovbCHaoSNzjuui3xULA== 0000950138-04-000348.txt : 20040514 0000950138-04-000348.hdr.sgml : 20040514 20040514162133 ACCESSION NUMBER: 0000950138-04-000348 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040512 FILED AS OF DATE: 20040514 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: MORGADO ROBERT J CENTRAL INDEX KEY: 0001051766 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 04808068 BUSINESS ADDRESS: STREET 1: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 BUSINESS PHONE: 2123084504 MAIL ADDRESS: STREET 1: 3100 OCAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 4 1 may14_morgado-4ex.xml X0202 4 2004-05-12 0 0000718877 ACTIVISION INC /NY ATVI 0001051766 MORGADO ROBERT J C/O ACTIVISION, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA CA 90405 1 0 0 0 Common Stock, par value $.000001 per share 2004-05-12 4 P 0 3000 14.26 A 3000 D Common Stock, par value $.000001 per share 2004-05-12 4 P 0 3000 14.60 A 6000 D The Morgado Family Partnership also owns 12,500 shares of Activision Common Stock. The reporting person disclaims beneficial ownership of all securities held by the Morgado Family Partnership and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. /s/ Robert J. Morgado 2004-05-14 -----END PRIVACY-ENHANCED MESSAGE-----