-----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, K3qskSGMyoBq6V2C1//sRKnMtEOpS1A35vvQAX8k8Ntb8M4MckBFoX5n//sbj5s9 sKhq2+5wCitZp5sEgQl6Vg== 0001352027-07-000026.txt : 20071214 0001352027-07-000026.hdr.sgml : 20071214 20071214211814 ACCESSION NUMBER: 0001352027-07-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071214 FILED AS OF DATE: 20071214 DATE AS OF CHANGE: 20071214 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: KOTICK ROBERT A CENTRAL INDEX KEY: 0001091423 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: 071308684 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 2007-12-14 0000718877 ACTIVISION INC /NY ATVI 0001091423 KOTICK ROBERT A C/O ACTIVISION, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA CA 90405 1 1 0 0 Chairman & CEO Employee Stock Options 13.08 2007-12-14 4 D 0 339687 0 D 2015-06-20 Common Stock, par value $0.0001 per share 339687 0 I Grantor Retained Annuity Trust Employee Stock Options 13.328 2007-12-14 4 A 0 339687 0 A 2015-06-20 Common Stock, par value $0.0001 per share 339687 339687 I Grantor Retained Annuity Trust Employee Stock Options 6.9025 2007-12-14 4 D 0 351648 0 D 2012-04-08 Common Stock, par value $0.0001 per share 351648 0 D Employee Stock Options 7.87 2007-12-14 4 A 0 351648 0 A 2012-04-08 Common Stock, par value $0.0001 per share 351648 351648 D Employee Stock Options 5.735 2007-12-14 4 D 0 1126297 0 D 2012-07-22 Common Stock, par value $0.0001 per share 1126297 0 D Employee Stock Options 6.688 2007-12-14 4 A 0 1126297 0 A 2012-07-22 Common Stock, par value $0.0001 per share 1126297 1126297 D Employee Stock Options 5.735 2007-12-14 4 D 0 273705 0 D 2012-07-22 Common Stock, par value $0.0001 per share 273705 0 I Family Trust Employee Stock Options 6.688 2007-12-14 4 A 0 273705 0 A 2012-07-22 Common Stock, par value $0.0001 per share 273705 273705 I Family Trust Employee Stock Options 3.4792 2007-12-14 4 D 0 175081 0 D 2011-04-04 Common Stock, par value $0.0001 per share 175081 0 I Grantor Retained Annuity Trust Employee Stock Options 6.542 2007-12-14 4 A 0 175081 0 A 2011-04-04 Common Stock, par value $0.0001 per share 175081 175081 I Grantor Retained Annuity Trust Employee Stock Options 3.4792 2007-12-14 4 D 0 83612 0 D 2011-04-04 Common Stock, par value $0.0001 per share 83612 0 D Employee Stock Options 6.542 2007-12-14 4 A 0 83612 0 A 2011-04-04 Common Stock, par value $0.0001 per share 83612 83612 D Employee Stock Options 1.75 2007-12-14 4 D 0 4303913 0 D 2009-03-23 Common Stock, par value $0.0001 per share 4303913 0 D Employee Stock Options 2.063 2007-12-14 4 A 0 4303913 0 A 2009-03-23 Common Stock, par value $0.0001 per share 4303913 4303913 D Employee Stock Options 1.75 2007-12-14 4 D 0 244135 0 D 2009-03-23 Common Stock, par value $0.0001 per share 244135 0 I Family Trust Employee Stock Options 2.063 2007-12-14 4 A 0 244135 0 A 2009-03-23 Common Stock, par value $0.0001 per share 244135 244135 I Family Trust Employee Stock Options 4.1667 2007-12-14 4 D 0 178201 0 D 2011-10-01 Common Stock, par value $0.0001 per share 178201 0 D Employee Stock Options 5.29 2007-12-14 4 A 0 178201 0 A 2011-10-01 Common Stock, par value $0.0001 per share 178201 178201 D Employee Stock Options 3.4792 2007-12-14 4 D 0 300309 0 D 2011-04-04 Common Stock, par value $0.0001 per share 300309 0 D Employee Stock Options 6.542 2007-12-14 4 A 0 300309 0 A 2011-04-04 Common Stock, par value $0.0001 per share 300309 300309 D Employee Stock Options 6.542 2007-12-14 4 D 0 241427 0 D 2011-04-04 Common Stock, par value $0.0001 per share 241427 58882 D The transactions reported herein as acquisitions and dispositions reflect adjustments to exercise prices of options previously issued to the reporting person following the redetermination of measurement dates and exercise prices previously reported by Activision in its Form 10-K/A for the fiscal year ended March 31, 2005. The option, which was granted on June 20, 2005, was exercisable in full as of June 20, 2007. As the original option (reported herein as a cancelled option) was exercisable in full on the date on which it was cancelled, the option as amended (reported herein as an option issued in replacement thereof) was exercisable in full on the date of amendment (reported herein as the date of grant). The option, which was granted on April 8, 2002, was exercisable in full as of the date of grant. The option, which was granted on July 22, 2002, was exercisable in full as of July 22, 2006. The reporting person disclaims beneficial ownership of all such shares, and this report shall not be deemed and admission that the reporting person is the beneficial owner of such shares for purposes of Section 16 or for any other purpose. The option, which was granted on April 4, 2001, was exercisable in full as of May 3, 2001. The option, which was granted on April 4, 2001, was exercisable in full as of the date of grant. The option, which was granted on March 23, 1999, was exercisable in full as of April 18, 2000. The option, which was granted on March 23, 1999, was exercisable in full as of July 6, 2000. The option, which was granted on October 1, 2001, was exercisable in full as of the date of grant. ***George L. Rose was granted a power of attorney to sign all Forms 4 and 5 on behalf of the reporting person. /s/ George L. Rose*** 2007-12-14 -----END PRIVACY-ENHANCED MESSAGE-----