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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 | |||||||||
Employee Stock Options | $ 3.8672 | 10/08/2008 | Â | J(1) | Â | 173,300 | Â (2) | 04/29/2014 | Common Stock, par value $0.00001 per share | $ 0 | 1,177,172 (3) | By 75260G Trust | ||
Employee Stock Options | $ 3.8672 | 10/08/2008 | Â | J(1) | 173,300 | Â | Â (2) | 04/29/2014 | Common Stock, par value $0.00001 per share | $ 0 | 173,300 | Â | ||
Employee Stock Options | $ 6.664 | 10/08/2008 | Â | J(1) | Â | 280,340 | Â (2) | 06/20/2015 | Common Stock, par value $0.00001 per share | $ 0 | 0 | By 75260G Trust | ||
Employee Stock Options | $ 6.664 | 10/08/2008 | Â | J(1) | 280,340 | Â | Â (2) | 06/20/2015 | Common Stock, par value $0.00001 per share | $ 0 | 679,374 (5) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KOTICK ROBERT A C/O ACTIVISION BLIZZARD, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA, CA 90405 |
 X |  |  President & CEO |  |
/s/ Robert A. Kotick | 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 Employee Stock Options by 75260G Trust to 10122B Trust. |
(2) | The option was exercisable in full as of the date of this Form 5 filing. |
(3) | This amount was previously reported as covering 675,236 shares at an exercise price of $7.7344 per share (all of which were held by the 75260G Trust), but was adjusted to reflect the 2-for-1 split of the Company's common stock that occurred on September 5, 2008. |
(4) | Represents options held by the 10122B Trust. |
(5) | This amount was previously reported as covering 339,687 shares (140,170 of which were held by the 75260G Trust) at an exercise price of $13.328 per share, but was adjusted to reflect the 2-for-1 split of the Company's common stock that occurred on September 5, 2008. |