-----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, Q2vPwp4FvjmqeTMO9Gt+S2OyDklzj0LugZMX/IQAhsN3newOtkN1p7jLGdTtpo5y LRGBFhGQxdyz8K5vXVkg5w== 0001209191-11-003255.txt : 20110114 0001209191-11-003255.hdr.sgml : 20110114 20110114165227 ACCESSION NUMBER: 0001209191-11-003255 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110114 FILED AS OF DATE: 20110114 DATE AS OF CHANGE: 20110114 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: 11530831 BUSINESS ADDRESS: STREET 1: 514 VIA DE LA VALLE CITY: SOLANA BEACH STATE: CA ZIP: 92075 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: 11530832 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 2011-01-14 0 0000891482 FULL HOUSE RESORTS INC FLL 0001487370 Paulson Vikki 1602 BRUMBACK STREET BOISE ID 83702 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 2011-01-14 4 S 0 78600 3.9184 D 1946787 I By Allen E. Paulson Living Trust These shares are owned directly by the Allen E. Paulson Living Trust and indirectly by Vikki Paulson as trustee of the trust. /s/ Vikki Paulson 2011-01-14 /s/ Vikki Paulson, Trustee 2011-01-14 -----END PRIVACY-ENHANCED MESSAGE-----