0001209191-16-150146.txt : 20161115
0001209191-16-150146.hdr.sgml : 20161115
20161115160842
ACCESSION NUMBER: 0001209191-16-150146
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161110
FILED AS OF DATE: 20161115
DATE AS OF CHANGE: 20161115
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: Tirpak Bradley M
CENTRAL INDEX KEY: 0001484439
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32583
FILM NUMBER: 161999781
MAIL ADDRESS:
STREET 1: 50 ORCHARD ST.
CITY: NEW YORK
STATE: NY
ZIP: 10002
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-10
0
0000891482
FULL HOUSE RESORTS INC
FLL
0001484439
Tirpak Bradley M
C/O FULL HOUSE RESORTS, INC.
4670 SOUTH FORT APACHE, SUITE 190
LAS VEGAS
NV
89147
1
0
0
0
Common Stock
2016-11-10
4
M
0
117447
1.30
A
661233
D
Stock Option (right to buy)
1.30
2016-11-10
4
M
0
117447
0.00
A
2016-10-07
2016-11-04
Common Stock
117447
0
D
/s/ Lewis Fanger, Attorney-in-Fact
2016-11-15