0001071255-22-000009.txt : 20220225 0001071255-22-000009.hdr.sgml : 20220225 20220225180227 ACCESSION NUMBER: 0001071255-22-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220224 FILED AS OF DATE: 20220225 DATE AS OF CHANGE: 20220225 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: 22682711 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: 22682712 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: 22682713 MAIL ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS, NV, USA STATE: NV ZIP: 89118 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: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 BUSINESS PHONE: 7028914284 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 4 1 wf-form4_164583012318170.xml FORM 4 X0306 4 2022-02-24 0 0001071255 GOLDEN ENTERTAINMENT, INC. GDEN 0000939979 SARTINI BLAKE L 6595 S. JONES BLVD. LAS VEGAS NV 89118 1 1 1 0 Chairman and CEO 0001649906 Blake L. Sartini & Delise F. Sartini Family Trust 6595 S. JONES BLVD. LAS VEGAS NV 89118 0 0 1 0 0000939978 SARTINI DELISE F 6595 S. JONES BLVD. LAS VEGAS NV 89118 0 0 1 0 Common Stock 2022-02-24 4 S 0 600000 46.30 D 5322887 I By Trust Shares are owned directly by The Blake L. Sartini and Delise F. Sartini Family Trust, of which Blake Sartini and Delise Sartini are co-trustees. /s/ Charles H. Protell, attorney-in-fact 2022-02-25