-----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, KZpwtQITgVJ1p6NcU/1L16B9foKV3cAn5zP6zCiYH9ROz8SLEk8fow8pMBVnIeBT StucmmTn7ysoOy29zXqV/w== 0001352027-07-000016.txt : 20071003 0001352027-07-000016.hdr.sgml : 20071003 20071003202929 ACCESSION NUMBER: 0001352027-07-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071001 FILED AS OF DATE: 20071003 DATE AS OF CHANGE: 20071003 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: DOORNINK RONALD CENTRAL INDEX KEY: 0001091428 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: 071155170 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 edgar.xml PRIMARY DOCUMENT X0202 4 2007-10-01 0000718877 ACTIVISION INC /NY ATVI 0001091428 DOORNINK RONALD C/O ACTIVISION, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA CA 90405 1 0 0 0 Common Stock, par value $0.000001 per share 2007-10-01 4 A 0 5000 0 A 182166 D Director Stock Options 22.19 2007-10-01 4 A 0 10000 0 A 2017-10-01 Common Stock, par value $0.000001 per share 10000 10000 D This grant was for 5,000 restricted stock units, each representing the conditional right to receive one share of Activision Common Stock. These restricted stock units will vest with respect to one-fourth of the shares on each of January 1, 2008, April 1, 2008, July 1, 2008 and October 1, 2008. Following the grant reported on this Form 4, Mr. Doornink held (a) 177,166 shares of Activision common stock and (b) 5,000 restricted stock units representing the conditional right to receive Activision common stock. These options will vest with respect to one-fourth of the shares on each of January 1, 2008, April 1, 2008, July 1, 2008 and October 1, 2008. ***George L. Rose was granted a power of attorney to sign all Forms 3, 4 and 5 on behalf of Mr. Doornink. /s/ George L. Rose (as Attorney-In-Fact)*** 2007-10-03 -----END PRIVACY-ENHANCED MESSAGE-----