0001352027-18-000006.txt : 20180214
0001352027-18-000006.hdr.sgml : 20180214
20180214175928
ACCESSION NUMBER: 0001352027-18-000006
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180214
DATE AS OF CHANGE: 20180214
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: 18614521
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: 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
5
1
wf-form5_151864911516980.xml
FORM 5
X0306
5
2017-12-31
0
0
0
0000718877
Activision Blizzard, Inc.
ATVI
0001091423
KOTICK ROBERT A
C/O ACTIVISION BLIZZARD, INC.
3100 OCEAN PARK BOULEVARD
SANTA MONICA
CA
90405
1
1
0
0
Chief Executive Officer
Common Stock, par value $0.000001 per share
2017-11-21
5
G
0
2486777
0
D
508790
I
See footnote
Common Stock, par value $0.000001 per share
2017-12-18
5
G
0
210018
0
D
4100379
D
Common Stock, par value $0.000001 per share
1
I
By ASAC II LLC
Common Stock, par value $0.000001 per share
7200
I
By UTMAs for the benefit of minor children
Represents the distribution of shares of the Company's common stock from grantor retained annuity trusts for the benefit of the reporting person's children, of which the reporting person is the trustee, to the 31427N Trust.
These shares are held by grantor retained annuity trusts for the benefit of the reporting person's children, of which the reporting person is the trustee. Reflects the distribution of 115,023 shares of the Company's common stock by these trusts to the reporting person on November 21, 2017.
Represents a charitable gift/transfer of shares of the Company's common stock to various 501(c)(3) organizations.
Following the transactions reported on this Form 5, the reporting person directly held (a) 2,003,156 shares of the Company's common stock and (b) 2,097,223 restricted stock units with vesting tied to performance, each representing the right to receive one share of the Company's common stock. Includes 115,023 shares received in a distribution of shares of the Company's common stock by grantor retained annuity trusts for the benefit of the reporting person's children, of which the reporting person is the trustee, on November 21, 2017.
The reporting person and Brian G. Kelly are the managers of ASAC II LLC. The reporting person disclaims beneficial ownership of the Company's common stock held by ASAC II LLC except to the extent of his pecuniary interest therein.
The reporting person disclaims beneficial ownership of the Company's common stock held by these UTMAs except to the extent of his pecuniary interest therein.
/s/ Robert A. Kotick
2018-02-13