0001209191-17-035090.txt : 20170524 0001209191-17-035090.hdr.sgml : 20170524 20170524175713 ACCESSION NUMBER: 0001209191-17-035090 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170522 FILED AS OF DATE: 20170524 DATE AS OF CHANGE: 20170524 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: 17867722 MAIL ADDRESS: STREET 1: 210 MARSH AVE SUITE 103 CITY: RENO STATE: NV ZIP: 89509 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-05-22 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 2017-05-22 4 A 0 5172 0.00 A 83472 D Stock Option (right to buy) 2.32 2017-05-22 4 A 0 8570 0.00 A 2018-05-22 2027-05-22 Common Stock 8570 8570 D /s/ Lewis A. Fanger, Attorney-in-Fact 2017-05-24