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
Doornink Ronald 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
3100 Ocean Park Boulevard Person (Voluntary) May 2001 President and Chief Operating 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) (D) 3 and 4) (Instr. 4) (Instr. 4)
----------------------------- --------- ---------- -------- --- -------- ------------ ------------- ------------
Common Stock, par value
$.000001 per share 5/22/01 M 18,750 A $6.00
Common Stock, par value
$.000001 per share 5/22/01 S 18,750 D $30.1037
Common Stock, par value
$.000001 per share 5/22/01 M 33,334 A $10.56
Common Stock, par value
$.000001 per share 5/22/01 S 33,334 D $30.1037
Common Stock, par value
$.000001 per share 5/22/01 M 31,706 A $10.25
Common Stock, par value
$.000001 per share 5/22/01 S 31,706 D $30.1037
Common Stock, par value
$.000001 per share 5/25/01 M 52,371 A $20.875
Common Stock, par value
$.000001 per share 5/25/01 S 52,371 D $33.1578 10,000 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.
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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 $6.00 5/22/01 M 18,750 10/1/00(1) 4/18/10
Employee Stock Options $10.56 5/22/01 M 33,334 4/1/00(2) 4/30/09
Employee Stock Options $10.25 5/22/01 M 31,706 6/11/99 4/30/99
Employee Stock Options $20.875 5/25/01 M 52,371 5/3/01 4/4/11
Employee Stock Options $20.875 4/4/01 A V 52,371 5/3/01 4/4/11
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 18,750 $6.00
Employee Stock Options Common Stock 33,334 $10.56
Employee Stock Options Common Stock 31,706 $10.25
Employee Stock Options Common Stock 52,371 $20.875
Employee Stock Options Common Stock 52,371 $20.875 604,166 D
Explanation of Responses
(1) The options vest in four equal installments of 18,750 shares on each of
October 1, 2000; April 1, 2001; October 1, 2001; and April 1, 2002.
(2) The options vest in three equal annual installments beginning on April 1, 2000.
/s/ Ronald Doornink 6/7/01
**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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