Form 4 - Kelly
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FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL
-------- Washington, D.C. 20549 --------------------------
[ ]Check this box if no longer subject to OMB Number: 3235-0287
Section 16. Form 4 or Form 5 Expires: January 31, 2005
obligations may continue. See STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden
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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(h) of the Investment Company Act of 1940
(Print or Type Responses)
1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting
Person(s) to Issuer (Check all
Kelly Brian G. Activision, Inc. (ATVI) applicable)
__________________________________________ _____________________________________________ _X_ Director ___ 10% Owner
(Last) (First) (Middle) 3. IRS Identification 4. Statement for _X_ Officer (give ___ Other (specify
Number of Reporting Month/Day/Year title below) below)
c/o Activision, Inc. Person, if an entity
3100 Ocean Park Boulevard (voluntary) April 1, 2003 Co-Chairman
__________________________________________ _________________________________________________________________
(Street) 5. If Amendment, Date 7. Individual or Joint/Group Filing
of Original (Check Applicable Line)
Santa Monica CA 90405 (Month/Day/Year) _X_ Form filed by One Reporting Person
__________________________________________ ___ Form filed by More than One
(City) (State) (Zip) Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
2A. 5. Amount of
Deemed 3. Trans- 4. Securities Acquired (A) Securities
2. Trans- Exe- action or Disposed of (D) Beneficially
action cution Code (Instr. 3, 4 and 5) Owned 6. Ownership
Date Date, (Instr. ----------------------- Following Form: 7. Nature of
(Month/ if any 8) (A) Reported Direct Indirect
1. Title of Security Day/ (Month/ ---------- Amount or Price Trans- (D) or Beneficial
(Instr.3) Year) Day/Year) Code V (D) action(s) Indirect(I) Ownership
----------------------------- --------- --------- ------ ---- -------- --- -------- ------------ ----------- ----------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (9-02)
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FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
6. Date
Exercisable
and
Expiration
2. Conver- 3A. Deemed 5. Number of Deriv- Date
sion or 3. Trans- Execution 4. Trans- ative Securities (Month/
Exercise action Date, if action Acquired (A) or Day/Year)
Price of Date any Code Disposed of (D) ---------------
Deriv- (Month/ (Month/ (Instr. 8) (Instr. 3, 4, and 5) Date Expir-
1. Title of Derivative Security ative Day/ Day/ ------------ ----------------------- Exer- ation
(Instr. 3) Security Year) Year) Code V (A) (D) cisable Date
-------------------------------- ----------- ---------- ------------- ------ ----- ----------- ----------- -------- ------
Employee Stock Options $14.17 4/1/03 A 102,000 4/1/03 3/31/13
Employee Stock Options $14.17 4/1/03 A 150,000 4/1/04(1) 3/31/13
9. Number of
Derivative 10. Ownership
Securities Form of
Beneficially Derivative
7. Title and Amount of Underlying Owned Security
Securities (Instr. 3 and 4) Following Direct 11. Nature of
--------------------------------- 8. Price of Reported (D) or Indirect
Amount or Derivative Trans- Indirect Beneficial
1. Title of Derivative Title Number of Security action(s) (I) Ownership
Security (Instr. 3) Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
---------------------- -------------------- --------- ------------- ------------- -------------- --------------
Employee Stock Options Common Stock 102,000 102,000 D
Employee Stock Options Common Stock 150,000 150,000 D
Explanation of Responses:
(1) One half of the option vests in three equal installments beginning on April 1, 2004. The second half of
the option will vest on April 1, 2010, however, the second half of the option may vest on an accelerated basis
if certain earning and other financial goals are met.
/s/Brian G. Kelly 04/03/03
**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). Brian G. Kelly
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