0001352027-11-000024.txt : 20111110
0001352027-11-000024.hdr.sgml : 20111110
20111110183721
ACCESSION NUMBER: 0001352027-11-000024
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111108
FILED AS OF DATE: 20111110
DATE AS OF CHANGE: 20111110
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: 111196870
MAIL ADDRESS:
STREET 1: 3100 OCEAN PARK BLVD
CITY: SANTA MONICA
STATE: CA
ZIP: 90405
4
1
edgar.xml
PRIMARY DOCUMENT
X0304
4
2011-11-08
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
2011-11-08
4
F
0
12618
13.93
D
166791
D
Common Stock, par value $0.000001 per share
472865
I
See footnote
On November 8, 2011, 25,000 restricted stock units held by Mr. Kelly vested. Pursuant to the terms of his restricted stock unit award agreement, he elected to have the Company withhold 12,618 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 directly held 166,791 shares of the Company's common stock.
Mr. Kelly indirectly owns 472,865 shares of the Company's common stock, which are held by a Delaware limited partnership, 99% of the interests of which are held by a grantor retained annuity trust of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee, and 1% of the interests of which are held by a Delaware limited liability corporation which serves as the general partner of the limited partnership.
These shares are held by the Delaware limited partnership to which footnote 3 refers.
/s/ Brian G. Kelly
2011-11-10