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