0001130210-17-000008.txt : 20170908 0001130210-17-000008.hdr.sgml : 20170908 20170908110001 ACCESSION NUMBER: 0001130210-17-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170908 FILED AS OF DATE: 20170908 DATE AS OF CHANGE: 20170908 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TIPPIE HENRY B CENTRAL INDEX KEY: 0001130210 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16791 FILM NUMBER: 171075428 MAIL ADDRESS: STREET 1: TONY EVANS STREET 2: 1131 N DUPONT HWY CITY: DOVER STATE: DE ZIP: 19903 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOVER DOWNS GAMING & ENTERTAINMENT INC CENTRAL INDEX KEY: 0001162556 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900] IRS NUMBER: 510414140 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1131 N DUPONT HWY CITY: DOVER STATE: DE ZIP: 19901 BUSINESS PHONE: 3026744600 MAIL ADDRESS: STREET 1: P O BOX 843 CITY: DOVER STATE: DE ZIP: 19903 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-09-08 0001162556 DOVER DOWNS GAMING & ENTERTAINMENT INC DDE 0001130210 TIPPIE HENRY B P. O. BOX 26557 AUSTIN TX 78755 1 0 1 0 Common Stock, $.10 par value 2017-09-08 4 P 0 4500 .98 A 1034596 D Common Stock, $.10 par value 200000 I Spouse Class A Common Stock 0 Common Stock 3200000 3200000 D Class A Common Stock 0 Common Stock 150000 150000 I Spouse Reporting Person disclaims any beneficial interest in these securities. Class A Common Stock is convertible into Common Stock at any time on a share for share basis at the option of the holder thereof. Klaus M. Belohoubek Via Power of Attorney Filed With the Securities and Exchange Commission 2017-09-08