0000950136-01-501546.txt : 20011019
0000950136-01-501546.hdr.sgml : 20011019
ACCESSION NUMBER: 0000950136-01-501546
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20010831
FILED AS OF DATE: 20011011
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: 1934 Act
SEC FILE NUMBER: 000-16986
FILM NUMBER: 1757042
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
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file001.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 _________________________________
Instruction 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
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(Last) (First) (Middle)
Acclaim Entertainment, Ltd.
Moreau House, 112-120 Brompton Road, Knightsbridge
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(Street)
London England SW31JJ
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(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, 2001
_______________________________________________________________________________
5. If Amendment, Date of Original (Month/Year)
_______________________________________________________________________________
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] 10% Owner
[ ] Director
[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
_______________________________________________________________________________
Page 1
FORM 5 (continued)
TABLE I--Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. 2. 3. 4. 5. 6. 7.
--------------------- -------- ---------- ------------------------------ ----------- ---------- ----------
Amount of
Securities
Beneficially Owner-
Owned at ship
Trans- Securities Acquired (A) End of Form:
action or Disposed of (D) Issuer's Direct Nature of
Date Trans- (Instr. 3, 4 and 5) Fiscal (D) or Indirect
Title of (Month/ action ---------------------------- Year Indirect Beneficial
Security Day/ Code Amount (A) or Price (Instr. (I) Ownership
(Instr. 3) Year) (Instr. 8) (D) 3 and 4) (Instr. 4) (Instr. 4)
--------------------- -------- ---------- ----------- ------ --------- ----------- ---------- ----------
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*If the form is filed by more than one reporting person, see
Instruction 4(b)(v).
Potential persons who are to resond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB control number.
(Over)
SEC 2270 (3/99)
Page 2
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 Ownership
Number of Date Exer- Amount of of
Derivative cisable and Underlying Number of Deriv-
Securities Expiration Securities Price Derivative ative
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)
---------- -------- -------- -------- ---- ---- ------- ----- ----- ------ ------ ---------- -------- ----------
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Option
(Right
to Buy)(1) $3.57 6/18/01 A 300,000 (1) 6/17/11 (2) 300,000 -- 300,000 D
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Explanation of Responses:
(1) This option 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 June 18, 2002, June 18, 2003, and June 18, 2004.
(2) Common Stock, par value $0.02 per share.
/s/ Rodney Cousens October 10, 2001
---------------------------------------- --------------------
** 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 3