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