0001445866-19-000335.txt : 20190401
0001445866-19-000335.hdr.sgml : 20190401
20190401140236
ACCESSION NUMBER: 0001445866-19-000335
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190329
FILED AS OF DATE: 20190401
DATE AS OF CHANGE: 20190401
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: 19719955
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
2019-03-29
0
0000013156
Galaxy Gaming, Inc.
GLXZ
0001638734
Waters Bryan W.
6767 SPENCER STREET
LAS VEGAS
NV
89119
1
0
0
0
Common Stock
2019-03-29
4
A
0
12400
1.60
A
1408561
D
Shares were received in connection with the Reporting Person's service on the Issuer's Board of Directors.
Includes shares under a Voting and Dispositive Control Transfer Agreement (the "VDCTA"), of which the Reporting Person is a recipient. Effective September 22, 2017, Triangulum Partners, LLC ("Triangulum"), entered into a VDCTA with the Reporting Person, pursuant to which Triangulum transferred voting and dispositive control over 1,269,161 shares of common stock of Galaxy Gaming, Inc., held by Triangulum. Pursuant to the terms of the VDCTA, upon the expiration of the term of the VDCTA, all control rights, including all voting and dispositive rights, relating to the shares will revert and return to Triangulum. The VDCTA and the transaction are described more fully in a Current Report on Form 8-K filed by Galaxy Gaming, Inc., on September 27, 2017.
/s/ Bryan W. Waters
2019-04-01