0001708989-19-000033.txt : 20190627 0001708989-19-000033.hdr.sgml : 20190627 20190627191121 ACCESSION NUMBER: 0001708989-19-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190625 FILED AS OF DATE: 20190627 DATE AS OF CHANGE: 20190627 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY BRIAN G CENTRAL INDEX KEY: 0001091425 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] STATE OF INCORPORATION: NY FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 19926877 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 4 1 wf-form4_156167706680635.xml FORM 4 X0306 4 2019-06-25 0 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 2019-06-25 4 A 0 5411 0 A 16788 D Common Stock, par value $0.000001 per share 1092352 I By the 115190D Trust Common Stock, par value $0.000001 per share 1324721 I By ASAC TJKS LLC Common Stock, par value $0.000001 per share 1 I By ASAC II LLC This grant was for 5,411 restricted stock units, each representing the right to receive one share of the Company's common stock, which will vest in equal installments on September 25, 2019, December 25, 2019, March 25, 2020, and June 25, 2020. Following the transactions reported on this Form 4, Mr. Kelly directly owns (a) 10,558 shares of the Company's common stock and (b) 6,230 restricted share units, each representing the right to receive one share of the Company's common stock. Mr. Kelly disclaims beneficial ownership of the Company's common stock held by the 115190D Trust except to the extent of his pecuniary interest therein. Mr. Kelly disclaims beneficial ownership of the Company's common stock held by ASAC TJKS LLC except to the extent of his pecuniary interest therein. Mr. Kelly and Robert A. Kotick are the managers of ASAC II LLC. Mr. Kelly disclaims beneficial ownership of the Company's common stock held by ASAC II LLC except to the extent of his pecuniary interest therein. /s/ Brian G. Kelly 2019-06-27