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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL 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
[ ] Check box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported.
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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)
Kotick Robert A. Activision, Inc. (ATVI)
__________________________________________ _____________________________________________ X Director 10% Owner
--- ---
(Last) (First) (Middle) 3. IRS or Social 4. Statement for X Officer (give Other (Specify
Security Number of Month/Year --- title below) --- below)
c/o Activision, Inc. Reporting Person
3100 Ocean Park Boulevard (Voluntary) March 31, 2000 Chairman and Chief Executive 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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
5. Amount of
Securi-
ties
Bene-
ficially
4. Securities Acquired (A) Owned at 6. Ownership
2. Trans- 3. Trans- or Disposed of (D) End of Form:
action action (Instr. 3, 4 and 5) Issuer's Direct 7. Nature of
Date Code --------------------------- Fiscal (D) or Indirect
Month/ (Instr. 8) (A) Year Indirect Beneficial
1. Title of Security Day/ Amount or Price (Instr. (I) Ownership
(Instr.3) Year) (D) 3 and 4) (Instr. 4) (Instr. 4)
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Common Stock, par value
$.000001 per share 803,729 D
Common Stock, par value
$.000001 per share 56,981 I (1)
* 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 of indirectly.
(Print or Type Responses)
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<CAPTION> 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- ative Securities and Expiration Date
Exercise action Acquired (A) or (Month/Day/Year)
Price of Date 4. Trans- Disposed of (D) -----------------------
Deriv- (Month/ action (Instr. 3, 4, and 5) Date
1. Title of Derivative Security ative Day/ Code ----------------------- Exercis- Expiration
(Instr. 3) Security Year) (Instr. 8) A D able Date
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Employee Stock Option $10.25 4/30/99 A 137,634 4/30/99 4/30/09
Employee Stock Option $10.25 4/30/99 A 21,875 4/30/99 4/30/09
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9. Number of 10. Ownership
Derivative Form of
7. Title and Amount of Underlying Securities Derivative
Securities (Instr. 3 and 4) Beneficially Security: 11. Nature of
--------------------------------- 8. Price of Owned Direct (D) Indirect
Amount or Derivative at End or Beneficial
1. Title of Derivative Title Number of Security of Year Indirect (I) Ownership
Security (Instr. 3) Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
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Employee Stock Option Common Stock 137,634
Employee Stock Option Common Stock 21,875 2,483,373 D
Explanation of Responses:
(1) Includes 19,500 shares held in an irrevocable trust for the benefit of reporting person's minor children. Mr. Kotick does not
exercise or share investment control over such shares. Also includes 37,481 shares held by Delmonte Investments LLC, of which the
reporting person is a member. The reporting person disclaims beneficial ownership of these 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.
/s/ Robert A. Kotick 4/28/00
**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). Robert A. Kotick
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
SEC 1474 (8-92)
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