0001209191-15-039837.txt : 20150507
0001209191-15-039837.hdr.sgml : 20150507
20150507143245
ACCESSION NUMBER: 0001209191-15-039837
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150505
FILED AS OF DATE: 20150507
DATE AS OF CHANGE: 20150507
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: adams kenneth robert
CENTRAL INDEX KEY: 0001392226
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32583
FILM NUMBER: 15841054
MAIL ADDRESS:
STREET 1: 210 MARSH AVE SUITE 103
CITY: RENO
STATE: NV
ZIP: 89509
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-05-05
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
2015-05-05
4
A
0
13245
0.00
A
40145
D
/s/ Lewis A. Fanger, attorney-in-fact
2015-05-06
EX-24.4_580368
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING REQUIREMENTS
Know all by these presents, that the undersigned hereby constitutes and appoints
each of the President, Secretary, Treasurer and General Counsel, of Full House
Resorts, Inc. (the "Company"), or either of them acting singly and with full
power of substitution, the undersigned's true and lawful attorney-in-fact to:
1. Execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer or director or both of Full House Resorts, Inc. (the "Company"),
Forms 3, 4 and 5 (and any amendments thereto) in accordance with Section 16 of
the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the
rules thereunder;
2. Do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4 or 5,
complete and execute any amendments thereto, and timely file such forms with the
U.S. Securities and Exchange Commission (the "SEC") and any securities exchange
or similar authority, including without limitation the filing of a Form ID or
any other documents necessary or appropriate to enable the undersigned to file
the Forms 3, 4 and 5 electronically with the SEC;
3. Seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any such person to release any such
information to each of the undersigned's attorneys-in-fact appointed by this
Limited Power of Attorney and approves and ratifies any such release of
information; and
4. Take any other action in connection with the foregoing which, in the opinion
of such attorney-in-fact, may be of benefit to, in the best interest of, or
legally required by or for, the undersigned, it being understood that the
documents executed by such attorney-in-fact on behalf of the undersigned
pursuant to this Limited Power of Attorney shall be in such form and shall
contain such information and disclosure as such attorney-in-fact may approve in
such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever required,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Limited Power of Attorney and the rights and powers
herein granted.
The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in
such capacity at the request and on the behalf of the undersigned, are not
assuming, nor is the Company assuming, any of the undersigned's responsibilities
to comply with, or any liability for the failure to comply with, any provision
of Section 16 of the Exchange Act.
This Limited Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 or 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to each
of the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has executed this Limited Power of Attorney
as of this May 5, 2015.
Signed and acknowledged:
/s/ Kenneth R. Adams
____________________
Kenneth R. Adams