-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, EqFFCiKA82247cHmKMBBvCKK5gkzxUWTzs67kgXc/xj3dOgbG1nF0B7+wPdVv2lG S4iulwOiwqiWrpsK1JYqHw== 0001209191-10-032154.txt : 20100604 0001209191-10-032154.hdr.sgml : 20100604 20100604105804 ACCESSION NUMBER: 0001209191-10-032154 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100603 FILED AS OF DATE: 20100604 DATE AS OF CHANGE: 20100604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALLEN E PAULSON LIVING TRUST CENTRAL INDEX KEY: 0001265597 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32583 FILM NUMBER: 10877765 BUSINESS ADDRESS: STREET 1: 514 VIA DE LA VALLE CITY: SOLANA BEACH STATE: CA ZIP: 92075 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Paulson James D. CENTRAL INDEX KEY: 0001487369 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32583 FILM NUMBER: 10877766 MAIL ADDRESS: STREET 1: 22560 LAQUILLA DRIVE CITY: CHATSWORTH STATE: CA ZIP: 91311 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Paulson Vikki CENTRAL INDEX KEY: 0001487370 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32583 FILM NUMBER: 10877767 MAIL ADDRESS: STREET 1: 1602 BRUMBACK STREET CITY: BOISE STATE: ID ZIP: 83702 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FULL HOUSE RESORTS INC CENTRAL INDEX KEY: 0000891482 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 133391527 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4670 S. FORT APACHE ROAD STREET 2: SUITE 190 CITY: LAS VEGAS STATE: NV ZIP: 89147 BUSINESS PHONE: 7022217800 MAIL ADDRESS: STREET 1: 4670 S. FORT APACHE ROAD STREET 2: SUITE 190 CITY: LAS VEGAS STATE: NV ZIP: 89147 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2010-06-03 0 0000891482 FULL HOUSE RESORTS INC FLL 0001487370 Paulson Vikki 1602 BRUMBACK STREET BOISE ID 83702 0 0 1 0 0001487369 Paulson James D. 22560 LAQUILLA DRIVE CHATSWORTH CA 91311 0 0 1 0 0001265597 ALLEN E PAULSON LIVING TRUST 10636 SCRIPPS SUMMIT COURT, SUITE 125 SAN DIEGO CA 92131 0 0 1 0 Common Stock 2010-06-03 4 S 0 23147 3.1682 D 3001387 I By Allen E. Paulson Living Trust These shares are owned directly by the Allen E. Paulson Living Trust and indirectly by Vikki Paulson and James D. Paulson as co-trustees of the trust. /s/ Vikki Paulson 2010-06-03 /s/ James D. Paulson 2010-06-03 /s/ Vikki Paulson and James D. Paulson, Co-Trustees 2010-06-03 -----END PRIVACY-ENHANCED MESSAGE-----