Form 4
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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
Instruction 1(b). hours per response.... 0.5
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)
Vrabeck Kathy P. Activision, Inc. (ATVI) to Issuer (Check all applicable)
__________________________________________ _____________________________________________ ___ Director ___ 10% Owner
_X_ Officer (give ___ Other (Specify
(Last) (First) (Middle) 3. IRS Identification 4. Statement for title below) below)
c/o Activision, Inc. Number of Reporting Month/Day/Year Executive Vice President,
3100 Ocean Park Boulevard Person, if an entity January 28, 2003 Global Brand Manager
__________________________________________ (voluntary) ______________________________________________________________
(Street)
5. If Amendment, Date 7. Individual or Joint/Group Filing
Santa Monica CA 90405 of Original (Month/ (Check Applicable Line)
__________________________________________ Day/Year) _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
2A. 5. Amount of
Deemed 3. Trans- 4. Securities Acquired (A) Securities
2. Trans- Exe- action or Disposed of (D) Beneficially 6. Ownership
action cution Code (Instr. 3, 4 and 5) Owned Form:
Date Date (Instr. ------------------------ Following Direct(D) 7. Nature of
(Month/ if any 8) (A) Reported or Indirect
1. Title of Security Day/ (Month/ ---------- Amount or Price Trans- Indirect Beneficial
(Instr.3) Year) Day/Year) Code V (D) actions(s) (I) Ownership
----------------------------- --------- --------- ---------- -------- --- -------- --------------- ------------ -------------
Common Stock, par value 1/28/03 P 3,000 A $14.04 3,000 D
$.000001 per share
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If this form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (9-02)
Potential persons who respond to the collection of information contained
in this form are not required to respond unless the form displays
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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
2. Conver- 3A. Deemed 5. Number of Deriv- Expiration
sion or 3. Trans- Execution 4. Trans- ative Securities Date (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/ ----- ---- ----------------------- Exercis- ation
(Instr. 3) Security Year) Year) Code V A D able Date
-------------------------------- ----------- ---------- ------------- ------------ ----------- ----------- -------- ------
9. Number of
Derivative 10. Ownership
Securities of Deriv-
Beneficially ative
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)
---------------------- -------------------- --------- ------------- ------------- -------------- --------------
Explanation of Responses
* 01/29/03
**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).
*By: /s/George L. Rose
Note: File three copies of this Form, one of which must be manually signed. --------------------------
If space provided is insufficient, see Instruction 6 for procedure. (George L. Rose)**
Attorney-In-Fact
Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB Number Page 2
**George L. Rose was granted a power of attorney to sign all Forms 4 and
Forms 5 on behalf of Kathy P. Vrabeck so long as Ms. Vrabeck is an
officer of Activision, Inc.