0001437749-15-014769.txt : 20150804
0001437749-15-014769.hdr.sgml : 20150804
20150804210350
ACCESSION NUMBER: 0001437749-15-014769
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150731
FILED AS OF DATE: 20150804
DATE AS OF CHANGE: 20150804
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 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: 151027234
MAIL ADDRESS:
STREET 1: 2411 WEST SAHARA AVENUE
CITY: LAS VEGAS
STATE: NV
ZIP: 89102
4
1
rdgdoc.xml
FORM 4
X0306
4
2015-07-31
0001071255
GOLDEN ENTERTAINMENT, INC.
GDEN
0000939979
SARTINI BLAKE L
6595 S. JONES BLVD.
LAS VEGAS
NV
89118
1
1
1
Chairman, President and CEO
Common Stock
2015-07-31
4
A
0
7772736
A
7772736
I
By Trust
The Blake L. Sartini and Delise F. Sartini Family Trust acquired 7,772,736 shares of issuer common stock pursuant to that certain Agreement and Plan of Merger, dated as of January 25, 2015, by and among Lakes Entertainment, Inc., LG Acquisition Corporation, Sartini Gaming, Inc., and the Blake L. Sartini and Delise F. Sartini Family Trust, as amended (the "Merger Agreement"), in exchange for 100% of the outstanding common stock of Sartini Gaming, Inc., in connection with the merger of LG Acquisition Corporation with and into Sartini Gaming, Inc. The reporting person and his wife are co-trustees and co-beneficiaries of The Blake L. Sartini and Delise F. Sartini Family Trust. Of the 7,772,736 shares, 388,637 shares are being held in escrow as security for the post-closing adjustment in accordance with the Merger Agreement, and 777,274 shares are being held in escrow as security for claims for indemnifiable losses in accordance with the Merger Agreement.
Shares held indirectly by The Blake L. Sartini and Delise F. Sartini Family Trust.
/s/ Blake Sartini
2015-08-04