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