0001209191-17-040151.txt : 20170615
0001209191-17-040151.hdr.sgml : 20170615
20170615162712
ACCESSION NUMBER: 0001209191-17-040151
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170613
FILED AS OF DATE: 20170615
DATE AS OF CHANGE: 20170615
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MIODUNSKI ROBERT L
CENTRAL INDEX KEY: 0001194916
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24993
FILM NUMBER: 17913794
MAIL ADDRESS:
STREET 1: 6601 S BERMUDA RD
CITY: LAS VEGAS
STATE: NV
ZIP: 89119
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-06-13
0
0001071255
GOLDEN ENTERTAINMENT, INC.
GDEN
0001194916
MIODUNSKI ROBERT L
6595 S. JONES BLVD.
LAS VEGAS
NV
89118
1
0
0
0
Stock Option (right to buy)
20.06
2017-06-13
4
A
0
20000
0.00
A
2027-06-12
Common Stock
20000
20000
D
The option vests on June 13, 2018. Notwithstanding the foregoing vesting schedule, in no event may the option be exercised prior to the earlier of (i) 08/01/18, or (ii) immediately prior to the consummation of a "change in control" under Section 2.8(a), (c) or (d) of the 2015 Incentive Award Plan which results in an "ownership change" as defined in Section 382 of the Internal Revenue Code of 1986, as amended, or any successor statute.
/s/ Robert L. Miodunski
2017-06-14