-----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, ICpmTQuZ+YAm+LLZfLiwyqPhpi4e6Ck+tklCM1WbDTb8b8AuJKgIhferwkK1Ob6d LMveP+a4E1P1prpv3uYfEQ== 0000950138-05-000774.txt : 20050805 0000950138-05-000774.hdr.sgml : 20050805 20050805161811 ACCESSION NUMBER: 0000950138-05-000774 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050803 FILED AS OF DATE: 20050805 DATE AS OF CHANGE: 20050805 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: HENDERSON KENNETH CENTRAL INDEX KEY: 0001144804 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MISCELLANEOUS NONDURABLE GOODS [5190] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 051003016 MAIL ADDRESS: STREET 1: C/O ACTIVISION INC STREET 2: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 4 1 aug3_henderson-4ex.xml DOCS & PROJECTS/ACTIVIS/2005 FILINGS X0202 4 2005-08-03 0 0000718877 ACTIVISION INC /NY ATVI 0001144804 HENDERSON KENNETH C/O BRYAN CAVE LLP 1290 AVENUE OF THE AMERICAS NEW YORK NY 10104 1 0 0 0 Common Stock, par value $.000001 per share 2005-08-03 4 M 0 75000 5.0245 A 79916 D Common Stock, par value $.000001 per share 2005-08-03 4 S 0 20000 20.8 D 59916 D Common Stock, par value $.000001 per share 2005-08-03 4 S 0 5000 20.79 D 54916 D Common Stock, par value $.000001 per share 2005-08-03 4 S 0 10000 20.78 D 44916 D Common Stock, par value $.000001 per share 2005-08-03 4 S 0 5000 20.77 D 39916 D Common Stock, par value $.000001 per share 2005-08-03 4 S 0 15000 20.76 D 24916 D Common Stock, par value $.000001 per share 2005-08-03 4 S 0 20000 20.75 D 4916 D Director Stock Options 5.0245 2005-08-03 4 M 0 75000 0 D 2011-09-27 Common Stock 75000 120000 D The options vested in four equal annual installments beginning on 9/27/01. /s/ Kenneth L. Henderson 2005-08-05 -----END PRIVACY-ENHANCED MESSAGE-----