Form 4
FORM 4
[ ] Check this box if no longer U.S. SECURITIES AND EXCHANGE COMMISSION
subject to Section 16. Form Washington, D.C. 20549
4 or Form 5 obligations may
continue. See Instruction 1(b). 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
to Issuer (Check all applicable)
Kelly Brian G. Activision, Inc. (ATVI) _X_ Director ___ 10% Owner
__________________________________________ _____________________________________________ X Officer (give ___ Other (specify
(Last) (First) (Middle) 3. IRS or Social 4. Statement for --- title below) below)
Security Number of Month/Year
Reporting Person Co-Chairman
c/o Activision, Inc. (Voluntary) March, 2001
3100 Ocean Park Boulevard ______________________________________________________________
__________________________________________
(Street) 5. If Amendment, Date of 7. Individual or Joint/Group Filing
Original (Month/Year) (Check Applicable Line)
Santa Monica CA 90405 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 3/15/01 M 1,600 A $6.00
Common Stock, par value
$.000001 per share 3/15/01 S 1,600 D $23.80
Common Stock, par value
$.000001 per share 3/16/01 M 22,400 A $6.00
Common Stock, par value
$.000001 per share 3/16/01 S 22,400 D $23.27
Common Stock, par value
$.000001 per share 3/22/01 M 26,000 A $6.00
Common Stock, par value
$.000001 per share 3/22/01 S 26,000 D $23.50
Common Stock, par value
$.000001 per share 3/23/01 M 50,000 A $6.00 186,091 D
Common Stock, par value
$.000001 per share 2/23/01 S 50,000 D $24.03 44,513 I (1)
* If this 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. (Over)
(Print or Type Responses)
Page 1 of 2
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 3/15/01 M 1,600 8/10/00 4/18/10
Employee Stock Options $6.00 3/16/01 M 22,400 8/10/00 4/18/10
Employee Stock Options $6.00 3/22/01 M 26,000 8/10/00 4/18/10
Employee Stock Options $6.00 3/23/01 M 50,000 8/10/00 4/18/10
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
Title Number of Security of Month (I) Ownership
Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
-------------------- --------- ------------- ------------- -------------- --------------
Common Stock 1,600 $6.00
Common Stock 22,400 $6.00
Common Stock 26,000 $6.00
Common Stock 50,000 $6.00 2,198,486 D
Explanation of Responses:
(1) Includes 7,032 shares of Common Stock transferred by the reporting person to an irrevocable trust for the benefit of reporting
persons's minor children. The reporting person does not exercise or share investment control over such shares. The reporting person disclaims
beneficial ownership of such shares, and this report shall not be deemed an admission that the reporting person is the
beneficial owner of such shares for purposes of Section 16 or for any other purpose. Also includes 37,481 shares held by
Delmonte Investments LLC, of which the reporting person is a member.
/s/ Brian G. Kelly 4/9/01
**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. Page 2 of 2