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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 Following Reported Transaction(s) (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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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Options | $ 32.55 | 07/11/2008 | A | 10,000 | (6) | 07/11/2018 | Common Stock, par value $0.000001 per share | 10,000 | $ 0 | 10,000 | D | ||||
Employee Stock Options | $ 32.55 | 07/11/2008 | G(3) | V | 10,000 | (6) | 07/11/2018 | Common Stock, par value $0.000001 per share | 10,000 | $ 0 | 0 | D | |||
Employee Stock Options | $ 32.55 | 07/11/2008 | G(3) | V | 10,000 | (6) | 07/11/2018 | Common Stock, par value $0.000001 per share | 10,000 | $ 0 | 10,000 | I | See footnote (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DOORNINK RONALD C/O ACTIVISION BLIZZARD, INC. 3100 OCEAN PARK BOULEVARD SANTA MONICA, CA 90405 |
Senior Advisor to the Board |
/s/ Ronald Doornink | 07/14/2008 | |
**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) | This grant was for 5,000 restricted stock units, each representing the right to receive one share of the Company's common stock, one-fourth of which will vest on each of October 11, 2008, January 11, 2009, April 11, 2009 and July 11, 2009. |
(2) | Immediately following this grant, Mr. Doornink also indirectly held 788,600 shares of the Company's common stock and 5,000 restricted stock units representing the right to receive the Company's common stock. |
(3) | Reflects the transfer of the securities from Mr. Doornink to the Ronald Doornink Martha Doornink TTEE U/A/D 12-17-1996 FBO Doornink Rev Living Trust. |
(4) | Following the transactions reported on this Form 4, Mr. Doornink (through the Ronald Doornink Martha Doornink TTEE U/A/D 12-17-1996 FBO Doornink Rev Living Trust) holds (a) 788,600 shares of the Company's common stock and (b) 10,000 restricted stock units representing the right to receive the Company's common stock. |
(5) | These securities are held by the Ronald Doornink Martha Doornink TTEE U/A/D 12-17-1996 FBO Doornink Rev Living Trust. |
(6) | One-fourth of these options vest on each of October 11, 2008, January 11, 2009, April 11, 2009 and July 11, 2009. |