0001437749-15-021844.txt : 20151207
0001437749-15-021844.hdr.sgml : 20151207
20151207170026
ACCESSION NUMBER: 0001437749-15-021844
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151106
FILED AS OF DATE: 20151207
DATE AS OF CHANGE: 20151207
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: 130 CHESHIERE LANE
CITY: MINNETONKA
STATE: MN
ZIP: 55305
BUSINESS PHONE: 6124499092
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: Blake L. Sartini & Delise F. Sartini Family Trust
CENTRAL INDEX KEY: 0001649906
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24993
FILM NUMBER: 151273345
BUSINESS ADDRESS:
STREET 1: 6595 S JONES BLVD
CITY: LAS VEGAS
STATE: NV
ZIP: 89118
BUSINESS PHONE: 7024954377
MAIL ADDRESS:
STREET 1: 6595 S JONES BLVD
CITY: LAS VEGAS
STATE: NV
ZIP: 89118
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SARTINI BLAKE L
CENTRAL INDEX KEY: 0000939979
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24993
FILM NUMBER: 151273346
MAIL ADDRESS:
STREET 1: 2411 WEST SAHARA AVENUE
CITY: LAS VEGAS
STATE: NV
ZIP: 89102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SARTINI DELISE F
CENTRAL INDEX KEY: 0000939978
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24993
FILM NUMBER: 151273347
MAIL ADDRESS:
STREET 1: 2411 WEST SAHARA AVENUE
CITY: LAS VEGAS
STATE: NV
ZIP: 89102
4/A
1
rdgdoc.xml
FORM 4/A
X0306
4/A
2015-11-06
2015-11-10
0001071255
GOLDEN ENTERTAINMENT, INC.
GDEN
0000939979
SARTINI BLAKE L
6595 S. JONES BLVD.
LAS VEGAS
NV
89118
1
1
1
Chairman, President and CEO
0001649906
Blake L. Sartini & Delise F. Sartini Family Trust
6595 S. JONES BLVD.
LAS VEGAS
NV
89118
1
1
0000939978
SARTINI DELISE F
6595 S. JONES BLVD.
LAS VEGAS
NV
89118
1
1
Common Stock
2015-11-06
4
S
0
225000
D
7696393
I
By Trust
Common Stock
2015-11-06
4
S
0
225000
D
7471393
I
By Trust
Common Stock
2015-11-06
4
S
0
225000
D
7246393
I
By Trust
On November 2, 2015, The Blake L. Sartini and Delise F. Sartini Family Trust (the "Trust") contributed 750,000 shares of common stock to D'Oro Holdings, LLC (the "LLC"), in exchange for 750,000 units of membership interest in the LLC, in a transaction exempt under Rule 16a-13. On November 4, 2015, the Trust made gifts of 25,000 LLC units to each of three separate trusts formed for the benefit of each of Mr. and Ms. Sartini's children (the "Children's Trusts") in transactions exempt under Rule 16b-5.
These shares are owned directly by the Trust (except for the shares held by the LLC prior to the LLC unit sales, which were owned indirectly by the Trust), and indirectly by Blake L. Sartini and Delise F. Sartini, as co-trustees of the Trust.
On November 6, 2015, the Trust sold 225,000 LLC units in private sales to each of the three Children's Trusts in exchange for a promissory note from each trust in a principal amount to be subsequently determined by an independent appraisal of the fair market value of such LLC units as of the sale date. The value so determined will represent the aggregate purchase price for such 225,000 units. This Amendment is filed to report the value of each block of 225,000 LLC units and the principal amount of each of the promissory notes from the Children's Trusts, which has been determined by the independent appraisal to be $1,148,000.
The Blake L. Sartini and Delise F. Sartini Family Trust and Delise F. Sartini are Directors by Deputization.
/s/ Blake L. Sartini
2015-12-04
/s/ Blake L. Sartini, Co-Trustee
2015-12-04
/s/ Delise F. Sartini, Co-Trustee
2015-12-04
/s/ Delise F. Sartini
2015-12-04