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