0001071255-22-000057.txt : 20220527 0001071255-22-000057.hdr.sgml : 20220527 20220527185519 ACCESSION NUMBER: 0001071255-22-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220527 FILED AS OF DATE: 20220527 DATE AS OF CHANGE: 20220527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dozier Ann CENTRAL INDEX KEY: 0001778255 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 22979640 MAIL ADDRESS: STREET 1: C/O GOLDEN ENTERTAINMENT, INC. STREET 2: 6595 S JONES BLVD CITY: LAS VEGAS, NV, USA STATE: NV ZIP: 89118 FORMER NAME: FORMER CONFORMED NAME: Dozier Ann D. DATE OF NAME CHANGE: 20190530 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GOLDEN ENTERTAINMENT, INC. CENTRAL INDEX KEY: 0001071255 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 411913991 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 BUSINESS PHONE: 7028914284 MAIL ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 FORMER COMPANY: FORMER CONFORMED NAME: LAKES ENTERTAINMENT INC DATE OF NAME CHANGE: 20020806 FORMER COMPANY: FORMER CONFORMED NAME: LAKES GAMING INC DATE OF NAME CHANGE: 19980929 4 1 wf-form4_165369209574351.xml FORM 4 X0306 4 2022-05-27 0 0001071255 GOLDEN ENTERTAINMENT, INC. GDEN 0001778255 Dozier Ann 6595 S JONES BLVD LAS VEGAS NV 89118-3337 1 0 0 0 Common Stock 2022-05-27 4 A 0 3630 0 A 36074 D Represents time-based restricted stock units ("RSUs"), which are contingent rights to receive common stock. RSUs that have not been forfeited shall vest on 5/26/2023. /s/ Charles H. Protell, attorney-in-fact 2022-05-27