0001209191-20-041681.txt : 20200708
0001209191-20-041681.hdr.sgml : 20200708
20200708132147
ACCESSION NUMBER: 0001209191-20-041681
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20200701
FILED AS OF DATE: 20200708
DATE AS OF CHANGE: 20200708
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Green Eric J
CENTRAL INDEX KEY: 0001817189
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32583
FILM NUMBER: 201017916
MAIL ADDRESS:
STREET 1: C/O FULL HOUSE RESORTS, INC.
STREET 2: 1980 FESTIVAL PLAZA DRIVE, SUITE 680
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2020-07-01
0
0000891482
FULL HOUSE RESORTS INC
FLL
0001817189
Green Eric J
C/O FULL HOUSE RESORTS, INC.
1980 FESTIVAL PLAZA DRIVE, SUITE 680
LAS VEGAS
NV
89135
1
0
0
0
Common Stock
76631
D
Common Stock
3429
I
By family trust
Exhibit List:
Exhibit 24 - Limited Power of Attorney
/s/ Lewis A. Fanger, Attorney-in-Fact
2020-07-06
EX-24.3_928187
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned's hereby makes, constitutes
and appoints Lewis A. Fanger and Elaine Guidroz, or either of them, as the
undersigned's true and lawful attorney-in-fact, with full power and authority as
hereinafter described on behalf of and in the name, place and stead of the
undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 (including
any amendments thereto) with respect to the securities of Full House Resorts,
Inc., a Nevada corporation (the "Company"), with the United States Securities
and Exchange Commission, any national securities exchanges and the Company, as
considered necessary or advisable under Section 16(a) of the Securities Exchange
Act of 1934 and the rules and regulations promulgated thereunder, as amended
from time to time (the "Exchange Act");
(2) 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 the undersigned and approves and ratifies any such release of
information; and
(3) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of the undersigned
in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, such
attorney-in-fact to act in their discretion on information provided to such
attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by such attorney-in-fact on behalf of
the undersigned pursuant to this Power of Attorney will be in such form and will
contain such information and disclosure as such attorney-in-fact, in his or her
discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i) any liability for
the undersigned's responsibility to comply with the requirement of the Exchange
Act, (ii) any liability of the undersigned for any failure to comply with such
requirements, or (iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned from responsibility
for compliance with the undersigned's obligations under the Exchange Act,
including without limitation the reporting requirements under Section 16 of the
Exchange Act.
The undersigned hereby gives and grants the foregoing attorney-in-fact full
power and authority to do and perform all and every act and thing whatsoever
requisite, necessary or appropriate to be done in and about the foregoing
matters as fully to all intents and purposes as the undersigned might or could
do if present, hereby ratifying all that such attorney-in-fact of, for and on
behalf of the undersigned, shall lawfully do or cause to be done by virtue of
this Limited Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by
the undersigned in a signed writing delivered to such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 6th day of July, 2020.
/s/ Eric J. Green
_________________________________
Signature
Eric J. Green
_________________________________
Print Name
STATE OF NEVADA
COUNTY OF CLARK
On this 6th day of July, 2020, Eric J. Green personally appeared before me, and
acknowledged that s/he executed the foregoing instrument for the purposes
therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
/s/ Kathleen Neilson
_________________________________
Notary Public
February 19, 2022
_________________________________
My Commission Expires: