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
Henderson Kenneth L. Activision, Inc. (ATVI) to Issuer (Check all applicable)
__________________________________________ _____________________________________________ _X_ Director ___ 10% Owner
___ Officer (give ___ Other (specify
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for title below) below)
c/o Robinson Silverman Pearce Aronsohn Number of Reporting Month/Year
& Berman LLP 1290 Avenue of the Americas Person (Voluntary) August 2001
__________________________________________ ______________________________________________________________
(Street)
5. If Amendment, Date of 7. Individual or Joint/Group Filing
New York New York 10104 Original (Month/Year) (Check applicable line)
__________________________________________ _X_ Form Filed by One Reporting Person
(City) (State) (Zip) September 10, 2001 ___ 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)
----------------------------- --------- ------ -------- --- -------- ------------ ------------- ------------
-0-
* 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
---------------------------------- ----------- ---------- ------------ ----------- ----------- ---------- ----------
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)
---------------------- -------------------- --------- ------------- ------------- -------------- --------------
-0- (1)
Explanation of Responses:
(1) On September 10, 2001, the reporting person filed a Form 4 reporting the acquisition of director stock options to
purchase 45,999 shares. This acquisition did not in fact occur. As of August 31, 2001, the reporting person did not
own any derivative securities.
/s/ Kenneth L. Henderson 11/8/01
**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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