-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KfsOS0NnT+95w2BQRiQIw6i5fuOm8HNvKObFtebJAnjUhhkwxA1DjW+RQVOxxjaM iTzVtnWsDer+H2uW254JrA== 0001144204-06-017979.txt : 20060502 0001144204-06-017979.hdr.sgml : 20060502 20060502133240 ACCESSION NUMBER: 0001144204-06-017979 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060428 FILED AS OF DATE: 20060502 DATE AS OF CHANGE: 20060502 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COLLETT W B CENTRAL INDEX KEY: 0001248731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-09099 FILM NUMBER: 06798505 BUSINESS ADDRESS: STREET 1: P O BOX 1848 CITY: LOGANVILLE STATE: GA ZIP: 30052 BUSINESS PHONE: 7704667777 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FLORIDA GAMING CORP CENTRAL INDEX KEY: 0000312065 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 591670533 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3500 N.W. 37TH AVE CITY: MIAMI STATE: FL ZIP: 33142 BUSINESS PHONE: 3056336400 MAIL ADDRESS: STREET 1: 2669 CHARLESTOWN ROAD STREET 2: SUITE D CITY: NEW ALBANY STATE: IN ZIP: 47150 FORMER COMPANY: FORMER CONFORMED NAME: LEXICON CORP DATE OF NAME CHANGE: 19920703 4 1 v041811_ex.xml X0202 4 2006-04-28 0 0000312065 FLORIDA GAMING CORP FGMG 0001248731 COLLETT W B 2669 CHARLESTOWN RD. #D NEW ALBANY IN 47150 1 1 1 0 Chairman and CEO Common Stock, Par Value $.20 886157 I See Footnote (1) Stock Options 17 2006-04-28 4 A 0 48000 0 A 2006-10-28 2011-10-28 Common Stock 48000 1021334 D All shares are owned by Freedom Financial Corp. which were previously reported on Form 4. Direct Ownership-528,000 options of which 480,000 options were previously reported on Form 4. Indirect Ownership-Freedom Financial Corp. ("FF") owns 1000 shares of Florida Gaming Corp. ("FGC") Pref. F stock which can be converted into 148,334 common Shares. FF also has 20,000 warrants and 325,000 options. FF owns 200 shares of Preferred E stock which can be converted into common shares, but the conversion into common shares fluctuates depending on the price of the stock. Therefore, these numbers do not include any conversion of Series E Preferred stock. These warrants, options, and conversions have previously been reported. /s/ Kimberly Tharp, by Power of Attorney 2006-05-01 -----END PRIVACY-ENHANCED MESSAGE-----