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FORM 5
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[ ] Check this box if no longer subject ------------------------------
to Section 16. Form 4 or Form 5 OMB APPROVAL
obligations may continue. See ------------------------------
Instructions 1(b) OMB Number: 3235-0362
Expires: December 31, 2001
[ ] Form 3 Holdings Reported Estimated average burden
hours per response ........1.0
[ ] Form 4 Transactions Reported ------------------------------
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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
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1. Name and Address of Reporting Person*
Cousens Rodney
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(Last) (First) (Middle)
Acclaim Entertainment, Ltd.
Moreau House, 112-120 Brompton Road, Knightsbridge
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(Street)
London England SW31JJ
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Acclaim Entertainment, Inc. (AKLM)
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3. IRS Identification Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
August 2000
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [ ] 10% Owner
[X] Officer (give title below) [ ] Other (specify below)
President and Chief Operating Officer, Acclaim Europe
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7. Individual or Joint/Group Filing
(Check applicable line)
[X] Form filed by one Reporting Person
[ ] Form filed by more than one Reporting Person
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<TABLE>
<CAPTION>
TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. 2. 3. 4. 5. 6. 7.
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Amount of
Securities Acquired (A) Securities Ownership Nature of
or Disposed of (D) Beneficially Form: Direct Indirect
Title of Transaction Transaction (Instr. 3, 4 and 5) Owned at end (D) or Beneficial
Security date (Month/ Code ---------------------------- of Fiscal Year Indirect (I) Ownership
(Instr. 3) Day/Year) (Instr. 8) Amount (A) or (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
(Over)
SEC 2270 (3/99)
</TABLE>
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FORM 5 (continued)
<TABLE>
<CAPTION>
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G. PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
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Title and
Number of Date Exer- Amount of Ownership
Derivative cisable and Underlying Number of of
Securities Expiration Securities Price Derivative Derivative
Conver- Acquired (A) Date (Month/ (Instr. 3 of Securities Security:
sion or Trans- or Disposed Day/Year) and 4) Deriv- Benefi- Direct
Exercise action Trans- of (D) -------------- -------------- ative cially (D) or Nature of
Title of Price of Date action (Instr. 3, Date Amount Secur- Owned at Indirect Indirect
Derivative Deriv- (Month/ Code 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial
Security ative Day/ (Instr. ---------- cis- ation ber of (Instr. Month (Instr. Ownership
(Instr. 3) Security Year) 8) (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Option:
Right to Common
Buy $3.125 1/18/00 A(1) 50,000 (1) 1/17/10 Stock 50,000 50,000 D
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</TABLE>
Explanation of Responses:
(1) Such option to acquire 50,000 shares of the Issuer's common stock, par
value $.02 per share, was granted to the reporting person under the
Issuer's 1998 Stock Incentive Plan. Such option becomes exercisable in
one-third installments on each of 1/18/01, 1/18/02 and 1/18/03.
/s/ Rodney Cousens December 22, 2000
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** 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).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
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.
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