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
1. Name and Address of Reporting Person
FISCHBACH, GREGORY E.
(Last) (First) (Middle)
One Acclaim Plaza
(Street)
Glen Cove, NY 11542
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ACCLAIM ENTERTAINMENT, INC. ("AKLM")
3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
4. Statement for Month/Year
August 1996
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person to Issuer (Check all applicable)
/x/ Director /x/ 10% Owner
/x/ Officer (give title below) / / Other (specify below)
Chief Executive Office
<TABLE>
<CAPTION>
Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
5. Amount
of Secu-
rities
Bene-
ficially
4. Securities Acquired (A) Owned at 6. Ownership
2. Trans- or Disposed of (D) End of Form:
action (Instr. 3, 4 and 5) Issuer's Direct 7. Nature of
Date 3. Trans- ----------------------------- Fiscal (D) or Indirect
(Month/ action (A) Year Indirect Beneficial
1. Title of Security Day/ Code Amount or Price (Instr. (I) Ownership
(Instr. 3) Year) (Instr. 8) (D) 3 and 4) (Instr. 4) (Instr. 4)
- ----------------------------- ---------- ------------- ------------ --- ---------- ----------- ------------- ---------------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
<TABLE>
<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 Disposed of (D) ----------------------
Deriv- (Month/ 4. Transac- (Instr. 3, 4, and 5) Date
1. Title of Derivative Security ative Day/ tion Code -------------------------- Exercis- Expiration
(Instr. 3) Security Year) (Instr. 8) (A) (D) able Date
- ---------------------------------------- ----------- ---------- ------------- ------------ ------------ ---------- ----------
<S> <C> <C> <C> <C> <C> <C> <C>
Warrants $2.417 (1) A (1) (1) (1) 7/25/01
Warrants $3.00 (2) A (2) (2) (2) 10/2/01
Options (right to buy) $7.50 (3) A (3) (3) (3) 7/24/01
<CAPTION>
9. Number of 10. Ownership
Derivative 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 at (D) or Indirect
Amount or Derivative End of Indirect Beneficial
1. Title of Derivative Title Number of Security Year (I) Ownership
Security (Instr. 3) Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
- --------------------------- --------------------------- ----------- ------------- ------------- -------------- ---------------
<S> <C> <C> <C> <C> <C> <C>
Warrants c/s 750,000 (1) 750,000 D
Warrants c/s 565,000 (2) 565,000 D
Options (right to buty) c/s 150,000 (3) 150,000 D
</TABLE>
Explanation of Responses:
(1) The exercise period for this warrant, granted in January 1991, was extended
from July 25, 1996 to July 25, 2001.
(2) The exercise period for this warrant, granted in April 1991, was extended
from October 2, 1996 to October 2, 2001.
(3) These nonincentive stock options were granted to Mr. Fischbach under the
registrant's 1988 Stock Option Plan; such options become exercisable in
thirds, on the first, second and third anniversaries, respectively, of the
date of grant.
/s/ Gregory E. Fischbach October 11, 1996
- --------------------------------------- --------------------------
**Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
