0001437749-15-020399.txt : 20151111 0001437749-15-020399.hdr.sgml : 20151111 20151110170153 ACCESSION NUMBER: 0001437749-15-020399 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151106 FILED AS OF DATE: 20151110 DATE AS OF CHANGE: 20151110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GOLDEN ENTERTAINMENT, INC. CENTRAL INDEX KEY: 0001071255 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 411913991 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 130 CHESHIERE LANE CITY: MINNETONKA STATE: MN ZIP: 55305 BUSINESS PHONE: 6124499092 MAIL ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 FORMER COMPANY: FORMER CONFORMED NAME: LAKES ENTERTAINMENT INC DATE OF NAME CHANGE: 20020806 FORMER COMPANY: FORMER CONFORMED NAME: LAKES GAMING INC DATE OF NAME CHANGE: 19980929 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SARTINI DELISE F CENTRAL INDEX KEY: 0000939978 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 151219626 MAIL ADDRESS: STREET 1: 2411 WEST SAHARA AVENUE CITY: LAS VEGAS STATE: NV ZIP: 89102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blake L. Sartini & Delise F. Sartini Family Trust CENTRAL INDEX KEY: 0001649906 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 151219627 BUSINESS ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 BUSINESS PHONE: 7024954377 MAIL ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SARTINI BLAKE L CENTRAL INDEX KEY: 0000939979 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 151219628 MAIL ADDRESS: STREET 1: 2411 WEST SAHARA AVENUE CITY: LAS VEGAS STATE: NV ZIP: 89102 4 1 rdgdoc.xml FORM 4 X0306 4 2015-11-06 0001071255 GOLDEN ENTERTAINMENT, INC. GDEN 0000939979 SARTINI BLAKE L 6595 S. JONES BLVD. LAS VEGAS NV 89118 1 1 1 Chairman, President and CEO 0001649906 Blake L. Sartini & Delise F. Sartini Family Trust 6595 S. JONES BLVD. LAS VEGAS NV 89118 1 1 0000939978 SARTINI DELISE F 6595 S. JONES BLVD. LAS VEGAS NV 89118 1 1 Common Stock 2015-11-04 5 G 0 25000 0 D 7971393 I By Trust Common Stock 2015-11-04 5 G 0 25000 0 D 7946393 I By Trust Common Stock 2015-11-04 5 G 0 25000 0 D 7921393 I By Trust Common Stock 2015-11-06 4 S 0 225000 D 7696393 I By Trust Common Stock 2015-11-06 4 S 0 225000 D 7471393 I By Trust Common Stock 2015-11-06 4 S 0 225000 D 7246393 I By Trust On November 2, 2015, The Blake L. Sartini and Delise F. Sartini Family Trust (the "Trust") contributed 750,000 shares of common stock to D'Oro Holdings, LLC (the "LLC"), in exchange for 750,000 units of membership interest in the LLC, in a transaction exempt under Rule 16a-13. On November 4, 2015, the Trust made gifts of 25,000 LLC units to each of three separate trusts formed for the benefit of each of Mr. and Ms. Sartini's children (the "Children's Trusts") in transactions exempt under Rule 16b-5. These shares are owned directly by the Trust (except for the shares held by the LLC prior to the LLC unit sales, which were owned indirectly by the Trust), and indirectly by Blake L. Sartini and Delise F. Sartini, as co-trustees of the Trust. On November 6, 2015, the Trust sold 225,000 LLC units in private sales to each of the three Children's Trusts in exchange for a promissory note from each trust in a principal amount to be subsequently determined by an independent appraisal of the fair market value of such LLC units as of the sale date. The value so determined will represent the aggregate purchase price for such 225,000 units. The Blake L. Sartini and Delise F. Sartini Family Trust and Delise F. Sartini are Directors by Deputization. /s/ Blake L. Sartini 2015-11-10 /s/ Blake L. Sartini, Co-Trustee 2015-11-10 /s/ Delise F. Sartini, Co-Trustee 2015-11-10 /s/ Delise F. Sartini 2015-11-10