0001209191-11-046342.txt : 20110901 0001209191-11-046342.hdr.sgml : 20110901 20110901172608 ACCESSION NUMBER: 0001209191-11-046342 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110812 FILED AS OF DATE: 20110901 DATE AS OF CHANGE: 20110901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: adams kenneth robert CENTRAL INDEX KEY: 0001392226 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32583 FILM NUMBER: 111071784 MAIL ADDRESS: STREET 1: 210 MARSH AVE SUITE 103 CITY: RENO STATE: NV ZIP: 89509 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0304 4/A 2011-08-12 2011-08-15 0 0000891482 FULL HOUSE RESORTS INC FLL 0001392226 adams kenneth robert C/O FULL HOUSE RESORTS, INC. 4670 SOUTH FORT APACHE ROAD, SUITE 190 LAS VEGAS NV 89147 1 0 0 0 Common Stock 2011-08-12 4 P 0 2000 2.74 A 18400 D /s/ Kenneth Robert Adams 2011-08-31