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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KELLY BRIAN G C/O ACTIVISION BLIZZARD, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA, CA 90405 |
 X |  |  |  |
/s/ Brian G. Kelly | 02/17/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Reflects transfer of Company common stock to a 501(c)(3) organization. |
(2) | Following the transaction reported on this Form 5, Mr. Kelly directly held 1,801,278 shares of the Company's common stock, including 582,020 shares that are held jointly by Mr. Kelly and his spouse and 727,274 restricted stock units representing the right to receive the Company's common stock. (On September 5, 2008, there was a 2-for-1 split of the Company's common stock, resulting in Mr. Kelly directly holding an additional 1,009,639 shares of Company common stock, including an additional 400,010 shares held jointly by Mr. Kelly and his spouse and restricted stock units representing the right to receive an additional 363,637 shares of common stock.) |
(3) | On September 5, 2008, there was a 2-for-1 split of the Company's common stock, resulting in Mr. Kelly indirectly holding additional shares of Company common stock, consisting of: (a) an additional 112,441 shares held by Delmonte Investments, LLC, and (b) an additional 2,749,429 shares held in the 800370D Trust. |
(4) | Mr. Kelly is an investment adviser and beneficiary of the 800370D Trust and may be deemed to be an indirect beneficial owner of shares held by such trust. |