-----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, KGc6oBK8v5emNoMFLsyVygTO745l7JpEmoKR3qArQzzR0ankPOQXeQm7LQyskrAv n7fjdJ+KA8Gsos83emwzAg== 0000950136-00-001841.txt : 20001225 0000950136-00-001841.hdr.sgml : 20001225 ACCESSION NUMBER: 0000950136-00-001841 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000830 FILED AS OF DATE: 20001222 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ACCLAIM ENTERTAINMENT INC CENTRAL INDEX KEY: 0000804888 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 382698904 STATE OF INCORPORATION: DE FISCAL YEAR END: 0831 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-16986 FILM NUMBER: 794423 BUSINESS ADDRESS: STREET 1: ONE ACCLAIM PLAZA CITY: GLEN COVE STATE: NY ZIP: 11542 BUSINESS PHONE: 5166565000 MAIL ADDRESS: STREET 1: OEN ACCLAIM PALZA CITY: GLEN COVEY STATE: NY ZIP: 11542 FORMER COMPANY: FORMER CONFORMED NAME: GAMMA CAPITAL CORP DATE OF NAME CHANGE: 19880608 COMPANY DATA: COMPANY CONFORMED NAME: COUSENS RODNEY CENTRAL INDEX KEY: 0001079720 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: ACCLAIM ENTERTAINMENT LTD, MOREAU HOUSE STREET 2: 112 120 BROMPTON RD KNIGHTSBRIDGE LONDON CITY: ENGLAND SW31IJ BUSINESS PHONE: 011441713445000 MAIL ADDRESS: STREET 1: ACCLAIM ENTERTAINMENT LTD, MOREAU HOUSE STREET 2: 112 120 BROMPTON RD KNIGHTSBRIDGE LONDON CITY: ENGLAND SW31IJ 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* Cousens Rodney - ----------------------------------------------------- (Last) (First) (Middle) Acclaim Entertainment, Ltd. Moreau House, 112-120 Brompton Road, Knightsbridge - ----------------------------------------------------- (Street) London England SW31JJ - ----------------------------------------------------- (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) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) President and Chief Operating Officer, Acclaim Europe ----------------------------------------------------- - -------------------------------------------------------------------------------- 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) 50,000 (1) 1/17/10 Stock 50,000 50,000 D - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - -----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) Such option to acquire 50,000 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/ Rodney Cousens December 22, 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 required to respond unless the form displays a currently valid OMB number. Page 2 -----END PRIVACY-ENHANCED MESSAGE-----