-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, OHYtKBslf+Cmzbb7ELkd2DdZtEEa/ykBYjl18SmvirnpWhSJbNAcjM4WQsnjjY1R 5QNnpjvt8IupzOsD5d1wnA== 0001179110-04-000190.txt : 20040105 0001179110-04-000190.hdr.sgml : 20040105 20040105161914 ACCESSION NUMBER: 0001179110-04-000190 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031217 FILED AS OF DATE: 20040105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOBERG RAY M CENTRAL INDEX KEY: 0001275112 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 04505225 BUSINESS ADDRESS: STREET 1: LAKES ENTERTAINMENT INC STREET 2: 130 CHESHIRE LANE CITY: MINNETONKA STATE: MN ZIP: 55305 BUSINESS PHONE: 9924499092 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LAKES 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: 130 CHESHIERE LANE CITY: MINNETONKA STATE: MN ZIP: 55305 BUSINESS PHONE: 6124499092 MAIL ADDRESS: STREET 1: 130 CHESHIRE LANE CITY: MINNETONKA STATE: MN ZIP: 55305 FORMER COMPANY: FORMER CONFORMED NAME: LAKES GAMING INC DATE OF NAME CHANGE: 19980929 3 1 edgar.xml FORM 3 - X0201 3 2003-12-17 0 0001071255 LAKES ENTERTAINMENT INC LACO 0001275112 MOBERG RAY M LAKES ENTERTAIMENT, INC. 130 CHESHIRE LANE MINNETONKA MN 55305 1 0 0 0 Common Stock, $.01 par value 0 D /s/ Ray M. Moberg 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----