0001209191-19-049348.txt : 20190912
0001209191-19-049348.hdr.sgml : 20190912
20190912170323
ACCESSION NUMBER: 0001209191-19-049348
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190910
FILED AS OF DATE: 20190912
DATE AS OF CHANGE: 20190912
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEE DANIEL R
CENTRAL INDEX KEY: 0001209589
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32583
FILM NUMBER: 191090921
MAIL ADDRESS:
STREET 1: C/O CREATIVE CASINOS LLC
STREET 2: 10801 W CHARLESTON BLVD #420
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
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: ONE SUMMERLIN
STREET 2: 1980 FESTIVAL PLAZA DR, STE 680
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
BUSINESS PHONE: 7022217800
MAIL ADDRESS:
STREET 1: ONE SUMMERLIN
STREET 2: 1980 FESTIVAL PLAZA DR, STE 680
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-09-10
0
0000891482
FULL HOUSE RESORTS INC
FLL
0001209589
LEE DANIEL R
C/O FULL HOUSE RESORTS, INC.
1980 FESTIVAL PLAZA DRIVE, SUITE 680
LAS VEGAS
NV
89135
1
1
0
0
Chief Executive Officer
Stock Option (Right to Buy)
1.97
2019-09-10
4
A
0
100000
0.00
A
2029-09-10
Common Stock
100000
100000
D
The option vests in three equal annual installments beginning on September 10, 2020.
/s/ Elaine Guidroz, Attorney-in-Fact
2019-09-12