0001104659-15-037292.txt : 20150512
0001104659-15-037292.hdr.sgml : 20150512
20150512164029
ACCESSION NUMBER: 0001104659-15-037292
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150511
FILED AS OF DATE: 20150512
DATE AS OF CHANGE: 20150512
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Affinity Gaming
CENTRAL INDEX KEY: 0001499268
STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011]
IRS NUMBER: 020815199
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3755 BREAKTHROUGH WAY
STREET 2: SUITE 300
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
BUSINESS PHONE: (702) 341-2400
MAIL ADDRESS:
STREET 1: 3755 BREAKTHROUGH WAY
STREET 2: SUITE 300
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
FORMER COMPANY:
FORMER CONFORMED NAME: Affinity Gaming, LLC
DATE OF NAME CHANGE: 20110630
FORMER COMPANY:
FORMER CONFORMED NAME: Herbst Gaming, LLC
DATE OF NAME CHANGE: 20100816
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zenni James Joseph JR
CENTRAL INDEX KEY: 0001530898
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 15854931
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z Capital Special Situations Fund UGP LLC
CENTRAL INDEX KEY: 0001530862
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 15854932
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z Capital Special Situations Fund GP LP
CENTRAL INDEX KEY: 0001530861
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 15854933
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z Capital Special Situations Adviser LP
CENTRAL INDEX KEY: 0001530860
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 15854934
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zenni Holdings LLC
CENTRAL INDEX KEY: 0001530859
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 15854935
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z Capital Partners, L.L.C.
CENTRAL INDEX KEY: 0001515358
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 15854936
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE, STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE, STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
4
1
a4.xml
4
X0306
4
2015-05-11
0
0001499268
Affinity Gaming
NONE
0001515358
Z Capital Partners, L.L.C.
150 FIELD DRIVE, STE 300
LAKE FOREST
IL
60045
0
0
1
0
0001530859
Zenni Holdings LLC
150 FIELD DRIVE, STE 300
LAKE FOREST
IL
60045
0
0
1
0
0001530860
Z Capital Special Situations Adviser LP
150 FIELD DRIVE, STE 300
LAKE FOREST
IL
60045
0
0
1
0
0001530861
Z Capital Special Situations Fund GP LP
150 FIELD DRIVE, STE 300
LAKE FOREST
IL
60045
0
0
1
0
0001530862
Z Capital Special Situations Fund UGP LLC
150 FIELD DRIVE, STE 300
LAKE FOREST
IL
60045
0
0
1
0
0001530898
Zenni James Joseph JR
150 FIELD DRIVE, STE 300
LAKE FOREST
IL
60045
0
0
1
0
Director
Common Stock
2015-05-11
4
A
0
20512
0.00
A
8044948.4
I
See footnotes
Includes 5,450,677.23 shares that may be deemed to be indirectly beneficially owned by Z Capital Special Situations Adviser, L.P. ("Special Adviser"), as the investment adviser of certain private funds; Z Capital Partners, L.L.C. ("Z Capital"), as the general partner of Special Adviser; Zenni Holdings, LLC ("Zenni Holdings"), as the managing member of Z Capital; and James J. Zenni ("Mr. Zenni"), as the President of Z Capital and the sole owner of Zenni Holdings.
Includes 2,594,271.17 shares that may be deemed to be indirectly beneficially owned by Z Capital Special Situations Fund GP, L.P. ("Special GP"), as the manager of certain private funds; Z Capital Special Situations Fund UGP, L.L.C. ("Special UGP"), as the general partner of Special GP; Z Capital, as the managing member of Special UGP; Zenni Holdings, as the managing member of Z Capital; and Mr. Zenni, as the President of Z Capital and the sole owner of Zenni Holdings. Includes 20,512 shares awarded to Special GP on May 11, 2015. These shares are time vested restricted stock, which vest in equal increments on May 11, 2015 and January 1, 2016.
Each Reporting Person disclaims beneficial ownership of the shares reported herein except to the extent of his or its pecuniary interest therein.
Z CAPITAL PARTNERS, L.L.C., By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2015-05-12
ZENNI HOLDINGS, LLC, By: /s/ James J. Zenni, Name: James J. Zenni, Title: Sole Owner
2015-05-12
Z CAPITAL SPECIAL SITUATIONS ADVISER, L.P., By: Z Capital Partners, L.L.C., General Partner By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2015-05-12
Z CAPITAL SPECIAL SITUATIONS FUND GP, L.P., By: Z Capital Special Situations UGP, L.L.C., General Partner By: Z Capital Partners, L.L.C., Managing Member By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2015-05-12
Z CAPITAL SPECIAL SITUATIONS FUND UGP, L.L.C., By: Z Capital Partners, L.L.C., Managing Member By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2015-05-12
/s/ James J. Zenni
2015-05-12