5 1 0001.txt FORM 5 ------ FORM 5 ------ [ ] Check this box if no longer subject ------------------------------ to Section 16. Form 4 or Form 5 OMB APPROVAL obligations may continue. See ------------------------------ Instructions 1(b) OMB Number: 3235-0362 Expires: December 31, 2001 [ ] Form 3 Holdings Reported Estimated average burden hours per response ........1.0 [ ] Form 4 Transactions Reported ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP FILED PURSUANT TO SECTION 16(a) OF THE SECURITIES EXCHANGE ACT OF 1934, SECTION 17(a) OF THE PUBLIC UTILITY HOLDING COMPANY ACT OF 1935 OR SECTION 30(f) OF THE INVESTMENT COMPANY ACT OF 1940 -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Scoroposki James R. ----------------------------------------------------- (Last) (First) (Middle) Acclaim Entertainment, Inc. One Acclaim Plaza ----------------------------------------------------- (Street) Glen Cove New York 11542 ----------------------------------------------------- (City) (State) (Zip) -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Acclaim Entertainment, Inc. (AKLM) -------------------------------------------------------------------------------- 3. IRS Identification Number of Reporting Person (Voluntary) -------------------------------------------------------------------------------- 4. Statement for Month/Year August 2000 -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) -------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [X] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Co-Chairman; Senior Executive Vice President, Secretary, Treasurer ------------------------------------------------------------------ -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (Check applicable line) [X] Form filed by one Reporting Person [ ] Form filed by more than one Reporting Person --------------------------------------------------------------------------------
TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED --------------------------------------------------------------------------------------------------------------------------- 1. 2. 3. 4. 5. 6. 7. --------------------------------------------------------------------------------------------------------------------------- Amount of Securities Acquired (A) Securities Ownership Nature of or Disposed of (D) Beneficially Form: Direct Indirect Title of Transaction Transaction (Instr. 3, 4 and 5) Owned at end (D) or Beneficial Security date (Month/ Code ---------------------------- of Fiscal Year Indirect (I) Ownership (Instr. 3) Day/Year) (Instr. 8) Amount (A) or (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4) --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- * If the form is filed by more than one reporting person, see Instruction 4(b)(v). (Over) SEC 2270 (3/99)
FORM 5 (continued)
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G. PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ----------------------------------------------------------------------------------------------------------------------------------- 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. ----------------------------------------------------------------------------------------------------------------------------------- Title and Number of Date Exer- Amount of Ownership Derivative cisable and Underlying Number of of Securities Expiration Securities Price Derivative Derivative Conver- Acquired (A) Date (Month/ (Instr. 3 of Securities Security: sion or Trans- or Disposed Day/Year) and 4) Deriv- Benefi- Direct Exercise action Trans- of (D) -------------- -------------- ative cially (D) or Nature of Title of Price of Date action (Instr. 3, Date Amount Secur- Owned at Indirect Indirect Derivative Deriv- (Month/ Code 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial Security ative Day/ (Instr. ---------- cis- ation ber of (Instr. Month (Instr. Ownership (Instr. 3) Security Year) 8) (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4) ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- Option: Right to Common Buy $3.125 1/18/00 A(1) 100,000 (1) 1/17/10 Stock 100,000 100,000 D ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) Such option to acquire 100,000 shares of the Issuer's common stock, par value $.02 per share, was granted to the reporting person under the Issuer's 1998 Stock Incentive Plan. Such option becomes exercisable in one-third installments on each of 1/18/01, 1/18/02 and 1/18/03. /s/ James Scoroposki November 3, 2000 ---------------------------------------- -------------------- ** Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not Page 2 required to respond unless the form displays a currently valid OMB number. Page 2