0001209191-16-150185.txt : 20161115 0001209191-16-150185.hdr.sgml : 20161115 20161115162805 ACCESSION NUMBER: 0001209191-16-150185 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: Guidroz Elaine CENTRAL INDEX KEY: 0001565441 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32583 FILM NUMBER: 162000008 MAIL ADDRESS: STREET 1: C/O FULL HOUSE RESORTS, INC. STREET 2: 777 RISING STAR DRIVE CITY: RISING SUN STATE: IN ZIP: 47040 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-10 0 0000891482 FULL HOUSE RESORTS INC FLL 0001565441 Guidroz Elaine C/O FULL HOUSE RESORTS, INC. 4670 SOUTH FORT APACHE ROAD, SUITE 190 LAS VEGAS NV 89147 0 1 0 0 VP, Secretary, General Counsel Common Stock 2016-11-10 4 M 0 108 1.30 A 608 I By Spouse Common Stock 15000 D Subscription Rights (right to buy) 1.30 2016-11-10 4 M 0 108 0.00 A 2016-10-07 2016-11-04 Common Stock 108 0 I By Spouse /s/ Lewis Fanger, Attorney-in-Fact 2016-11-15