0001209191-11-062475.txt : 20111221
0001209191-11-062475.hdr.sgml : 20111221
20111221111939
ACCESSION NUMBER: 0001209191-11-062475
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111219
FILED AS OF DATE: 20111221
DATE AS OF CHANGE: 20111221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Miller Mark J
CENTRAL INDEX KEY: 0001328930
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32583
FILM NUMBER: 111273662
MAIL ADDRESS:
STREET 1: 4670 SOUTH FORT APACHE ROAD
STREET 2: SUITE 190
CITY: LAS VEGAS
STATE: NV
ZIP: 89147
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FULL HOUSE RESORTS INC
CENTRAL INDEX KEY: 0000891482
STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011]
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
X0304
4
2011-12-19
0
0000891482
FULL HOUSE RESORTS INC
FLL
0001328930
Miller Mark J
C/O FULL HOUSE RESORTS, INC.
4670 SOUTH FORT APACHE ROAD, SUITE 190
LAS VEGAS
NV
89147
1
1
0
0
COO and CFO
Common Stock
2011-12-19
4
P
0
600
2.38
A
445161
I
By Miller Family Living Trust
/s/ Mark Miller
2011-12-21