SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Saucier Robert B.

(Last) (First) (Middle)
6767 SPENCER STREET

(Street)
LAS VEGAS NV 89119

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Galaxy Gaming, Inc. [ GLXZ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/26/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/26/2017 S 7,768 D $0.605 32,232 I FOOTNOTE(1)
Common Stock 01/31/2017 S 4,402 D $0.605 27,830 I FOOTNOTE(1)
Common Stock 02/02/2017 S 48 D $0.605 27,782 I FOOTNOTE(1)
Common Stock 02/08/2017 S 97 D $0.605 27,685 I FOOTNOTE(1)
Common Stock 02/10/2017 S 400 D $0.605 27,285 I FOOTNOTE(1)
Common Stock 02/13/2017 S 1,800 D $0.605 25,485 I FOOTNOTE(1)
Common Stock 02/17/2017 S 6,000 D $0.605 19,485 I FOOTNOTE(1)
Common Stock 02/21/2017 S 5,000 D $0.63 14,485 I FOOTNOTE(1)
Common Stock 02/21/2017 S 7,000 D $0.62 7,485 I FOOTNOTE(1)
Common Stock 02/21/2017 S 6,000 D $0.6455 1,485 I FOOTNOTE(1)
Common Stock 02/22/2017 S 580 D $0.605 905 I FOOTNOTE(1)
Common Stock 02/23/2017 S 905 D $0.62 0 I FOOTNOTE(1)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Shares sold were owned by Carpathia Associates, LLC. Mr. Saucier is the sole manager and an owner of Carpathia Associates, LLC, and has voting and dispositive control over the shares. The shares sold were acquired by Carpathia Associates, LLC, on April 22, 2015. A prior Form 4 reported an incorrecte date of acquisition of the shares; that Form 4 was subsequently amended.
/s/ Robert Saucier 04/19/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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