SEC Form 4 · accession 0001352027-16-000128
Activision Blizzard, Inc. · ATVI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian G Kelly
Director
Period of report
Nov 22, 2016
Accepted (ET)
Nov 25, 2016 · 9:20 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 22, 2016 | A | 3,923 | $0.00 | A | 296,852 | D | |
| Common Stock, par value $0.000001 per shareF3,F4 | holding | — | — | — | 12,561,811 | I | By ASAC II LLC | |
| Common Stock, par value $0.000001 per share | holding | — | — | — | 1,330,199 | I | By the 115190D Trust | |
| Common Stock, par value $0.000001 per shareF3,F5 | holding | — | — | — | 1,344,617 | I | By ASAC TJKS LLC | |
| Common Stock, par value $0.000001 per shareF6 | holding | — | — | — | 486,333 | I | The Kelly Descendants 2016 Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This grant was for 3,923 restricted stock units, each representing the right to receive one share of the Company's common stock, which vest in four equal installments on each of February 22, May 22, August 22 and November 22, 2017.
- F2Following the transactions reported on this Form 4, Mr. Kelly directly owns (a) 292,929 shares of the Company's common stock and (b) 3,923 restricted share units, each representing the right to receive one share of the Company's common stock.
- F3Reflects the pro rata distribution of 486,800 shares of the Company's common stock by ASAC II LLC to its members, ASAC TJKS LLC and ASAC 427 LLC, on November 9, 2016.
- F4Robert 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 LLC except to the extent of his pecuniary interest therein.
- F5Mr. Kelly disclaims beneficial ownership of the Company's common stock held by ASAC TJKS LLC except to the extent of his pecuniary interest therein.
- F6These securities were decanted from a grantor retained annuity trust, of which Mr. Kelly is the annuitant beneficiary and his wife, Joelle Kelly, is the trustee, to the Kelly Descendants 2016 Trust on September 14, 2016.