0001209191-16-109490.txt : 20160318 0001209191-16-109490.hdr.sgml : 20160318 20160318161951 ACCESSION NUMBER: 0001209191-16-109490 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160316 FILED AS OF DATE: 20160318 DATE AS OF CHANGE: 20160318 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: Solomon Jeffrey CENTRAL INDEX KEY: 0001668556 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54085 FILM NUMBER: 161516323 MAIL ADDRESS: STREET 1: C/O AFFINITY GAMING STREET 2: 3755 BREAKTHROUGH WAY, SUITE 300 CITY: LAS VEGAS STATE: NV ZIP: 89135 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-16 0 0001499268 Affinity Gaming NONE 0001668556 Solomon Jeffrey C/O AFFINITY GAMING 3755 BREAKTHROUGH WAY, SUITE 300 LAS VEGAS NV 89135 0 1 0 0 Senior VP and COO Stock Option (Right to Buy) 12.00 2016-03-16 4 A 0 80000 0.00 A 2021-03-16 Common Stock 80000 80000 D 40,000 options will become exercisable in 1/3 increments on March 31, 2017, March 31, 2018 and March 31, 2019, and 40,000 options vest on those three dates in 1/3 increments or less dependent upon the achievement of performance-based conditions. /s/ Marc H. Rubinstein, as Attorney-in-Fact for Jeffrey Solomon 2016-03-18