-----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, Exu9b4LZa7DfOZNqC8cTUmyfvsB/WUDZfehdlo2lKkzl3hmoOnSx5OCxQ9G7b2g2 GBVwMCgJA55t/hw0tpqd3Q== 0001209191-09-045702.txt : 20090924 0001209191-09-045702.hdr.sgml : 20090924 20090924174329 ACCESSION NUMBER: 0001209191-09-045702 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090922 FILED AS OF DATE: 20090924 DATE AS OF CHANGE: 20090924 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOBERG RAY M CENTRAL INDEX KEY: 0001275112 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 091085774 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-09-22 0 0001071255 LAKES ENTERTAINMENT INC LACO 0001275112 MOBERG RAY M LAKES ENTERTAINMENT, INC. 130 CHESHIRE LANE MINNETONKA MN 55305 1 0 0 0 Stock Options 6.6529 2009-09-22 4 D 0 60000 D 2013-12-17 Common Stock, $.01 par value 60000 0 D Stock Options 16.8387 2009-09-22 4 D 0 10000 D 2015-02-15 Common Stock, $.01 par value 10000 0 D Stock Options 4.24 2009-09-22 4 D 0 5000 D 2018-03-13 Common Stock, $.01 par value 5000 0 D Stock Options 3.40 2009-09-22 4 A 0 36739 A 2019-09-22 Common Stock, $.01 par value 36739 36739 D Stock Options 3.40 2009-09-22 4 A 0 5122 A 2019-09-22 Common Stock, $.01 par value 5122 5122 D Stock Options 3.40 2009-09-22 4 A 0 4667 A 2019-09-22 Common Stock, $.01 par value 4667 4667 D Pursuant to Rule 16b-3 (right to buy). Fully exercisable. On September 22, 2009, the issuer canceled, pursuant to the issuer's option exchange program, an option for 60,000 shares of Lakes Entertainment, Inc. common stock granted to the reporting person on December 17, 2003. In exchange, the reporting person received a replacement option, for 36,739 shares, having an exercise price of $3.40 a share. On September 22, 2009, the issuer canceled, pursuant to the issuer's option exchange program, an option for 10,000 shares of Lakes Entertainment, Inc. common stock granted to the reporting person on February 15, 2005. In exchange, the reporting person received a replacement option, for 5,122 shares, having an exercise price of $3.40 a share. The option provided for vesting in equal installments of 1,250 shares each on 3/13/09, 3/13/10, 3/13/11 and 3/13/12. On September 22, 2009, the issuer canceled, pursuant to the issuer's option exchange program, an option for 5,000 shares of Lakes Entertainment, Inc. common stock granted to the reporting person on March 13, 2008. In exchange, the reporting person received a replacement option, for 4,667 shares, having an exercise price of $3.40 a share. The option vests in two equal annual installments beginning September 22, 2010. The option vests in three equal annual installments beginning September 22, 2010. The option vests in five equal annual installments beginning on September 22, 2010. /s/ Ray Moberg 2009-09-24 -----END PRIVACY-ENHANCED MESSAGE-----