0001352027-20-000009.txt : 20200214
0001352027-20-000009.hdr.sgml : 20200214
20200214191607
ACCESSION NUMBER: 0001352027-20-000009
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191231
FILED AS OF DATE: 20200214
DATE AS OF CHANGE: 20200214
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: 20622769
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_158172574933647.xml
FORM 5
X0306
5
2019-12-31
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
2019-09-10
5
G
0
100
0
D
3697821
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
Common Stock, par value $0.000001 per share
221288
I
By GRATs
Common Stock, par value $0.000001 per share
2
I
By Delmonte Investments, LLC
Following the transaction reported on this Form 5, the reporting person directly held (a) 2,312,660 shares of the Company's common stock and (b) 1,385,161 restricted stock units with vesting tied to performance, each representing the right to receive one share of the Company's common stock.
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.
These shares are held by grantor retained annuity trusts for the benefit of the reporting persons's children, of which the reporting person is the trustee.
Reflects shares of the Company's common stock indirectly beneficially owned through Delmonte Investments, LLC, of which the reporting person is a member and manager.
/s/ Robert A. Kotick
2020-02-14