SEC Form 4 · accession 0001352027-15-000059
Activision Blizzard, Inc. · ATVI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian G Kelly
Director · 10% Owner
Period of report
Dec 1, 2015
Accepted (ET)
Dec 3, 2015 · 7:52 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000718877
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.000001 per shareF1,F2 | Nov 18, 2015 | G | 190,545 | $0.00 | D | 1,164,956 | D | |
| Common Stock, par value $0.000001 per shareF4,F5 | Dec 1, 2015 | F | 9,872 | $38.57 | D | 551,671 | I | See footnote |
| Common Stock, par value $0.000001 per shareF6 | holding | — | — | — | 171,968,042 | I | By ASAC II LP | |
| Common Stock, par value $0.000001 per share | holding | — | — | — | 472,865 | I | By the Kelly Family 2006 Irrevocable Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On November 18, 2015, Mr. Kelly made a gift of 190,545 shares of the Company's common stock to the Brian & Joelle Kelly Family Foundation, a charitable 501(c)(3) foundation.
- F2Following the transactions reported on this Form 4, Mr. Kelly directly owns (a) 386,927 shares of the Company's common stock, (b) 736,232 performance shares, each representing the right to receive one share of the Company's common stock, and (c) 41,797 performance-vesting restricted share units, each representing the right to receive one share of the Company's common stock.
- F3On December 1, 2015, 17,685 restricted share units held by a grantor retained annuity trust, of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee, vested. As allowed under the terms of Mr. Kelly's restricted share unit agreement, the Company withheld 9,872 of the shares otherwise deliverable to the trust in order to satisfy the resulting tax withholding obligation.
- F4Following the transactions reported on this Form 4, Mr. Kelly indirectly holds, through a grantor retained annuity trust of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee, (a) 427,876 shares of the Company's common stock and (b) 123,795 restricted share units, each representing the right to receive a share of the Company's common stock.
- F5These securities are held by a grantor retained annuity trust, of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee.
- F6ASAC II LLC is the general partner of ASAC II LP. Robert A. Kotick and Mr. Kelly are the 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.