0001352027-21-000014.txt : 20210212 0001352027-21-000014.hdr.sgml : 20210212 20210212192839 ACCESSION NUMBER: 0001352027-21-000014 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210212 DATE AS OF CHANGE: 20210212 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: 21631167 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_161317609371375.xml FORM 5 X0306 5 2020-12-31 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 2020-03-02 5 G 0 131670 0 D 48042 I See Footnote Common Stock, par value $0.000001 per share 4305890 D Common Stock, par value $0.000001 per share 1 I By ASAC II LLC Common Stock, par value $0.000001 per share 4800 I By UTMAs for the benefit of minor children Common Stock, par value $0.000001 per share 2 I By Delmonte Investments, LLC Represents the distribution of shares of the Company's common stock from grantor retained annuity trust 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 persons's children, of which the reporting person is the trustee. Following the transactions reported on this Form 5, Mr. Kotick held (a) 2,354,236 shares of the Company's common stock, and (b) 1,951,654 performance vesting restricted stock units, each representing the right to receive one share of the Company's common stock. 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 2021-02-12