0001209191-16-137656.txt : 20160817 0001209191-16-137656.hdr.sgml : 20160817 20160817192521 ACCESSION NUMBER: 0001209191-16-137656 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160815 FILED AS OF DATE: 20160817 DATE AS OF CHANGE: 20160817 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY BRIAN G CENTRAL INDEX KEY: 0001091425 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15839 FILM NUMBER: 161839755 MAIL ADDRESS: STREET 1: 3100 OCEAN PARK BLVD CITY: SANTA MONICA STATE: CA ZIP: 90405 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-08-15 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 2016-08-15 4 S 0 386927 40.51 D 292929 D Common Stock, par value $0.000001 per share 2016-08-15 4 S 0 3982849 40.51 D 13048611 I By ASAC II LLC Common Stock, par value $0.000001 per share 2016-08-15 4 S 0 2169801 40.51 D 1330199 I By 115190D Trust Common Stock, par value $0.000001 per share 2016-08-15 4 S 0 5898783 40.51 D 1101217 I By ASAC TJKS LLC Common Stock, par value $0.000001 per share 2016-08-15 4 S 0 472865 40.51 D 0 I The Kelly Descendants 2016 Trust Common Stock, par value $0.000001 per share 486333 I See footnote On July 7, 2016, ASAC II LP distributed 17,982,849 shares to ASAC II LLC. On August 15, 2016, ASAC II LLC distributed 14,000,000 of these shares pro rata to its members. ASAC II LLC is the general partner of ASAC II LP. Robert A. Kotick and Mr. Kelly are managers of ASAC II LLC. Mr. Kelly disclaims beneficial ownership of the Company's common stock held by ASAC II LP except to the extent of his pecuniary interest therein. Comprised of shares received in a pro rata distribution on August 15, 2016 by one of the members of ASAC II LLC. Mr. Kelly is an investment advisor and beneficiary of the 115190D Trust and may be deemed to have an indirect pecuniary interest in the shares held by such trust. Comprised of shares received in a pro rata distribution on August 15, 2016 by one of the members of ASAC II LLC. Comprised of shares derived from the Kelly Family 2006 Irrevocable Trust. These securities are held by a grantor retained annuity trust, of which Mr. Kelly is the annuity beneficiary and his wife, Joelle Kelly, is trustee. *For further information, please refer to the amended Schedule 13D filed on August 16, 2016 by ASAC II LP. /s/ Brian G. Kelly 2016-08-17