0001445866-17-001374.txt : 20171004 0001445866-17-001374.hdr.sgml : 20171004 20171004180054 ACCESSION NUMBER: 0001445866-17-001374 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170930 FILED AS OF DATE: 20171004 DATE AS OF CHANGE: 20171004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Waters Bryan W. CENTRAL INDEX KEY: 0001638734 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30653 FILM NUMBER: 171122791 MAIL ADDRESS: STREET 1: 240 MONTE VISTA RIDGE ROAD CITY: ORINDA STATE: CA ZIP: 94563 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Galaxy Gaming, Inc. CENTRAL INDEX KEY: 0000013156 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900] IRS NUMBER: 208143439 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6767 SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 BUSINESS PHONE: 702-939-3254 MAIL ADDRESS: STREET 1: 6767 SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 FORMER COMPANY: FORMER CONFORMED NAME: SECURED DIVERSIFIED INVESTMENT LTD DATE OF NAME CHANGE: 20050622 FORMER COMPANY: FORMER CONFORMED NAME: SECURED DIVERSIFIED INVESTMENT LTD DATE OF NAME CHANGE: 20020919 FORMER COMPANY: FORMER CONFORMED NAME: BOOK CORP OF AMERICA DATE OF NAME CHANGE: 20000517 4 1 form4.xml OWNERSHIP DOCUMENT X0306 4 2017-09-30 0 0000013156 Galaxy Gaming, Inc. GLXZ 0001638734 Waters Bryan W. 6767 SPENCER STREET LAS VEGAS NV 89119 1 0 0 0 Option 1.17 2017-09-30 4 A 0 25000 0 A 2017-09-30 2022-09-30 Common Stock 25000 250000 D Shares were received in connection with the Reporting Person's service on the Issuer's Board of Directors. /s/ Bryan W. Waters 2017-10-04