Form 4
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* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person
Goldberg Lawrence Activision, Inc. (ATVI) to Issuer (Check all applicable)
__________________________________________ _____________________________________________ ___ Director ___ 10% Owner
_X_ Officer (give ___ Other (specify
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for title below) below)
c/o Activision, Inc. Number of Reporting Month/Year Executive Vice President and
3100 Ocean Park Boulevard Person (Voluntary) October 2001 Chief Corporate Officer
__________________________________________ ______________________________________________________________
(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) Code (D) 3 and 4) (Instr. 4) (Instr. 4)
----------------------------- --------- ------ -------- --- -------- ------------ ------------- ------------
Common Stock, par value
$.000001 per share 10/24/01 M 2,000 A $10.5625
Common Stock, par value
$.000001 per share 10/24/01 S 2,000 D $38.00
Common Stock, par value
$.000001 per share 10/24/01 M 5,000 A $13.375
Common Stock, par value
$.000001 per share 10/24/01 S 5,000 D $38.00 1,677 D
* 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
---------------------------------- ----------- ---------- ------------ ----------- ----------- ---------- ----------
Employee Stock Options $20.875 4/4/01 A V 20,000 10/1/01(1) 4/4/11
Employee Stock Options $25.00 10/1/01 A V 11,880 10/1/01 10/1/11
Employee Stock Options $10.5625 10/24/01 M 2,000 3/4/00(2) 3/4/09
Employee Stock Options $13.375 10/24/01 M 5,000 4/1/01(3) 10/18/09
9. Number of 10. Ownership
Derivative Form of
Securities Derivative
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)
---------------------- -------------------- --------- ------------- ------------- -------------- --------------
Employee Stock Options Common Stock 20,000 $20.875
Employee Stock Options Common Stock 11,880 $25.00
Employee Stock Options Common Stock 2,000 $10.56
Employee Stock Options Common Stock 5,000 $13.375 243,582 D
Explanation of Responses:
(1) The options vest in four equal installments of 5,000 shares on each of 10/1/01, 4/1/02, 10/1/02 and 4/1/03, except that the
third and fourth installments may vest on an accelerated basis if the issuer achieves certain earnings goals.
(2) The options vest in three equal annual installments of 11,000 shares beginning on 3/4/00.
(3) The options vest as to 25,000 on 4/1/01; 16,667 on 4/1/02; 16,667 on 4/1/03 and 16,666 on 4/1/04
/s/Lawrence Goldberg 11/9/01
**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.
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