July Form 4 - Brian Kelly
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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* Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person
Henderson Kenneth L. Activision, Inc. (ATVI) to Issuer (Check all applicable)
__________________________________________ _____________________________________________ _X_ Director ___ 10% Owner
___ Officer (give ___ Other (Specify
(Last) (First) (Middle) 3. IRS or Social 4. Statement for title below) below)
c/o Activision, Inc. Security Number Month/Year Co-Chairman
3100 Ocean Park Boulevard of Reporting Person August 2001
__________________________________________ (Voluntary) ______________________________________________________________
(Street)
5. If Amendment, Date of 7. Individual or Joint/Group Filing
Santa Monica California 90405 Original (Month/Year) (Check applicable line)
__________________________________________ _X_ Form Filed by One Reporting Person
(City) (State) (Zip) ___ Form Filed by More Than One
Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
5. Amount of
3. Trans- 4. Securities Acquired (A) Securities
2. Trans- action or Disposed of (D) Beneficially 6. Ownership
action Code (Instr. 3, 4 and 5) Owned at Form: 7. Nature of
Date (Instr. --------------------------- End of Direct(D) Indirect
(Month/ 8) (A) Month or Beneficial
1. Title of Security Day/ Amount or Price (Instr. Indirect(I) Ownership
(Instr.3) Year) (D) 3 and 4) (Instr. 4) (Instr. 4)
----------------------------- --------- ---------- -------- --- -------- ------------ ------------- ------------
* If the form is filed by more than one Reporting Person, see Instruction 4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Print or Type Responses) Page 1
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
2. Conver- 5. Number of Deriv- 6. Date Exercisable
sion or 3. Trans- 4. Trans- ative Securities and Expiration Date
Exercise action action Acquired (A) or (Month/Day/Year)
Price of Date Code Disposed of (D) -----------------------
Deriv- (Month/ (Instr. 8) (Instr. 3, 4, and 5) Date
1. Title of Derivative Security ative Day/ ----- ---- ----------------------- Exercis- Expiration
(Instr. 3) Security Year) Code V (A) (D) able Date
---------------------------------- ----------- ---------- ------------ ----------- ----------- ---------- ----------
Director Stock Options $ 6.50 8/1/01 A V 33,333 5/16/02(1) 5/16/10
Director Stock Options $11.50 8/1/01 A V 12,000 12/11/01(2) 12/11/08
Director Stock Options $11.80 8/1/01 A V 666 2/27/02(3) 2/27/07
9. Number of 10. Ownership Form
Derivative of Deriv-
Securities ative
7. Title and Amount of Underlying Benefi- Security:
Securities (Instr. 3 and 4) cially Direct 11. Nature of
--------------------------------- 8. Price of Owned (D) or Indirect
Amount or Derivative at End Indirect Beneficial
1. Title of Derivative Title Number of Security of Month (I) Ownership
Security (Instr. 3) Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
---------------------- -------------------- --------- ------------- ------------- -------------- --------------
Director Stock Options Common Stock 33.333 $ 6.50
Director Stock Options Common Stock 12,000 $11.50
Director Stock Options Common Stock 666 $11.80 45,999 D
Explanation of Responses:
(1) The option vests in two equal installments beginning on 5/16/02.
(2) The option vests in three equal annual installments begining on 12/11/01.
(3) The option vests in full on 2/27/02.
/s/ Kenneth L. Henderson 9/10/01
**Intentional misstatements or omissions of facts constitute ------------------------------- ------------
Federal Criminal Violations. See 18 U.S.C. 1001 and **Signature of Reporting Person Date
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. Page 2
SEC 1474 (8-92)