SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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3235-0287 |
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0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
| C/O ACTIVISION BLIZZARD, INC. |
| 3100 OCEAN PARK BOULEVARD |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Activision Blizzard, Inc.
[ ATVI ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
| X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 02/22/2012
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
| 1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
| Common Stock, par value $0.000001 per share |
02/22/2012 |
|
S |
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7,000 |
D |
$12.1023
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0 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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| 1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
| Remarks: |
|
/s/ Chris B. Walther* |
02/24/2012 |
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** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * 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). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| 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 Number. |
SUBSTITUTION UNDER POWERS OF ATTORNEY
The undersigned hereby constitutes and appoints Christopher B.
Walther as the
undersigned's true and lawful substitute, to act in the undersigned's place
and stead, in any and
all capacities authorized under to those certain Powers of Attorney given to
the undersigned by
Philippe Capron, Frederic Crepin, Jean-Bernard Levy, Michael Morhaime, Doug
Morris, Rene
Penisson, Stephane Roussel, Regis Turrini and Ann Weiser (collectively, the
Reporting
Persons), with respect to, among other things:
(1) the execution, for and on behalf of the Reporting Persons, in the
Reporting Persons
respective capacities as officers and directors of Activision Blizzard, Inc.,
of Forms 3, 4, and 5 in
accordance with Section 16(a) of the Securities Exchange Act of 1934 and the
rules thereunder;
(2) the performance of any and all acts for and on behalf of the
Reporting Persons which
may be necessary or desirable to complete and execute any such Form 3, 4, or
5, the completion
and execution any amendment or amendments thereto, and the timely filing of
such form with
the United States Securities and Exchange Commission and any stock exchange
or similar
authority; and
(3) the taking by the undersigned of any other action of any type
whatsoever in
connection with the foregoing which, in the opinion of the undersigned, may
be of benefit to, in
the best interest of, or legally required by, the Reporting Persons.
This substitution shall remain in full force and effect with respect
to each such Power of
Attorney until the termination or revocation of such Power of Attorney,
unless earlier revoked by
the undersigned in a signed writing delivered to the foregoing substitute.
IN WITNESS WHEREOF, the undersigned has caused this document to be
executed as
of this 23rd day of November, 2009.
/s/ George L. Rose
George L. Rose
US1DOCS 7310183v1