-----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, OseyeMEi2T/FXBy91t5IENEF959yB0WgLhNdHzYehyMgFE+1wuP88GUCZBIsUgx3 E3X6RFX4DdU+uqFCYEJb3Q== 0000950138-05-000769.txt : 20050804 0000950138-05-000769.hdr.sgml : 20050804 20050804171104 ACCESSION NUMBER: 0000950138-05-000769 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050802 FILED AS OF DATE: 20050804 DATE AS OF CHANGE: 20050804 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: ROSE GEORGE L CENTRAL INDEX KEY: 0001280548 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 051000184 BUSINESS ADDRESS: STREET 1: C/O BRYAN COVE LLP STREET 2: 1290 AVENUE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10104-3300 BUSINESS PHONE: 2125412000 MAIL ADDRESS: STREET 1: C/O ACTIVISION INC STREET 2: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 4 1 aug2rose-4_ex.xml X0202 4 2005-08-02 0 0000718877 ACTIVISION INC /NY ATVI 0001280548 ROSE GEORGE L C/O ACTIVISION INC 3100 OCEAN PARK BLVD SANTA MONICA CA 90405 0 1 0 0 Senior VP & General Counsel Common Stock, par value $.000001 per share 2005-08-02 4 M 0 16500 4.5067 A 16500 D Common Stock, par value $.000001 per share 2005-08-02 4 S 0 16500 20.50 D 0 D Employee Stock Options 4.5067 2005-08-02 4 M 0 16500 0 D 2013-04-11 Common Stock 16500 6596 D One half of the option vests in three equal annual installments beginning on April 1, 2004. The second half of the option will vest on April 1, 2009, however, the second half of the option may vest on an accelerated basis if certain earning and other financial goals are met. George Rose 2005-08-04 -----END PRIVACY-ENHANCED MESSAGE-----