0001104659-16-135834.txt : 20160801
0001104659-16-135834.hdr.sgml : 20160801
20160801201150
ACCESSION NUMBER: 0001104659-16-135834
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160728
FILED AS OF DATE: 20160801
DATE AS OF CHANGE: 20160801
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: 3100 OCEAN PARK BLVD
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
BUSINESS PHONE: 3102552000
MAIL ADDRESS:
STREET 1: 3100 OCEAN PARK BLVD
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KELLY BRIAN G
CENTRAL INDEX KEY: 0001091425
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-15839
FILM NUMBER: 161798680
MAIL ADDRESS:
STREET 1: 3100 OCEAN PARK BLVD
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
4
1
a4.xml
4
X0306
4
2016-07-28
0
0000718877
Activision Blizzard, Inc.
ATVI
0001091425
KELLY BRIAN G
C/O ACTIVISION BLIZZARD, INC.
3100 OCEAN PARK BOULEVARD
SANTA MONICA
CA
90405
1
0
0
0
Common Stock, par value $0.000001 per share
2016-07-28
4
F
0
23332
40.27
D
679856
D
Common Stock, par value $0.000001 per share
31031460
I
See Footnote
Common Stock, par value $0.000001 per share
472865
I
By the Kelly Family 2006 Irrevocable Trust
Common Stock, par value $0.000001 per share
486333
I
See Footnote
On July 28, 2016, 41,797 performance-vesting restricted share units held by Mr. Kelly vested. As allowed under the terms of Mr. Kelly's restricted share unit agreement, the Company withheld 23,332 of the shares otherwise deliverable to him in order to satisfy the resulting tax withholding obligation.
Following the transaction reported on this Form 4, Mr. Kelly holds, 679,856 shares of the Company's common stock.
Consists of 13,048,611 shares held by ASAC II LP and 17,982,849 held by ASAC II LLC following the distribution thereof by ASAC II LP to ASAC II LLC on July 7, 2016. ASAC II LLC is the general partner of ASAC II LP. Robert A. Kotick and Mr. Kelly are the managers of ASAC II LLC. Mr. Kelly disclaims beneficial ownership of the Company's common stock held by ASAC II LP and ASAC II LLC, except, in each case, to the extent of his pecuniary interest therein.
Mr. Kelly indirectly holds, through a grantor retained annuity trust of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee, 486,333 shares of the Company's common stock.
These securities are held by a grantor retained annuity trust, of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee.
/s/ Brian G. Kelly
2016-08-01