0000718877-23-000003.txt : 20230213 0000718877-23-000003.hdr.sgml : 20230213 20230213164434 ACCESSION NUMBER: 0000718877-23-000003 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230213 DATE AS OF CHANGE: 20230213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOTICK ROBERT A CENTRAL INDEX KEY: 0001091423 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] STATE OF INCORPORATION: CA FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 23619272 MAIL ADDRESS: STREET 1: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Activision Blizzard, Inc. CENTRAL INDEX KEY: 0000718877 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 954803544 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2701 OLYMPIC BOULEVARD STREET 2: BUILDING B CITY: SANTA MONICA STATE: CA ZIP: 90404 BUSINESS PHONE: 3102666025 MAIL ADDRESS: STREET 1: 2701 OLYMPIC BOULEVARD STREET 2: BUILDING B CITY: SANTA MONICA STATE: CA ZIP: 90404 FORMER COMPANY: FORMER CONFORMED NAME: ACTIVISION INC /NY DATE OF NAME CHANGE: 19930114 FORMER COMPANY: FORMER CONFORMED NAME: MEDIAGENIC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ACTIVISION INC DATE OF NAME CHANGE: 19880829 5 1 wf-form5_167632465200662.xml FORM 5 X0306 5 2022-12-31 0 0 0 0000718877 Activision Blizzard, Inc. ATVI 0001091423 KOTICK ROBERT A C/O ACTIVISION BLIZZARD, INC. 2701 OLYMPIC BOULEVARD, BUILDING B SANTA MONICA CA 90404 1 1 0 0 Chief Executive Officer Common Stock, par value $0.000001 per share 2022-03-04 5 G 0 20735 0 D 0 I By GRATs Common Stock, par value $0.000001 per share 3924881 D Common Stock, par value $0.000001 per share 1 I By ASAC II LLC Common Stock, par value $0.000001 per share 2 I By Delmonte Investments, LLC Represents the distribution of shares of Issuer's common stock from a grantor retained annuity trust for benefit of reporting person's children, of which reporting person was the trustee, to the 31427N Trust. In addition to the distribution referenced in footnote (1), reflects distribution of 16,183 shares of Issuer's common stock to reporting person on 3/4/2022 for estate planning purposes from reporting person's grantor retained annuity trust for benefit of reporting person's children, of which reporting person was the trustee. Shares were held by grantor retained annuity trust for benefit of reporting person's children, of which reporting person was the trustee. Includes 16,183 shares received as referenced in footnote (2). Reporting person no longer has a reportable beneficial interest in 4,800 shares of Issuer's common stock included in reporting person's prior ownership reports as indirectly owned through UTMAs for the benefit of minor children and as to which reporting person disclaimed beneficial ownership except to extent of his pecuniary interest therein. Reporting person and Brian G. Kelly are managers of ASAC II LLC, and reporting person disclaims beneficial ownership of Issuer's common stock held by ASAC II LLC except to extent of his pecuniary interest therein. Reflects shares of Issuer's common stock indirectly beneficially owned through Delmonte Investments, LLC, of which reporting person is a member and manager. /s/ Robert A. Kotick 2023-02-13