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