0001071255-21-000026.txt : 20210324 0001071255-21-000026.hdr.sgml : 20210324 20210324170028 ACCESSION NUMBER: 0001071255-21-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210322 FILED AS OF DATE: 20210324 DATE AS OF CHANGE: 20210324 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LIPPARELLI MARK A CENTRAL INDEX KEY: 0001207741 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 21768889 MAIL ADDRESS: STREET 1: SHUFFLE MASTER INC STREET 2: 1106 PALMS AIRPORT DR CITY: LAS VEGAS STATE: NV ZIP: 89119 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_161661959695187.xml FORM 4 X0306 4 2021-03-22 0 0001071255 GOLDEN ENTERTAINMENT, INC. GDEN 0001207741 LIPPARELLI MARK A 6595 S. JONES BLVD. LAS VEGAS NV 89118 1 0 0 0 Common Stock 2021-03-22 4 M 0 13334 7.34 A 53922 D Stock Option 7.34 2021-03-22 4 M 0 13334 0 D 2025-08-26 Common Stock 13334.0 0 D Represents an option to purchase shares of the Company's common stock, which vested in three equal annual installments from the date of grant of August 27, 2015. /s/ Charles H. Protell, attorney-in-fact 2021-03-24