0001104659-17-005818.txt : 20170201
0001104659-17-005818.hdr.sgml : 20170201
20170201163631
ACCESSION NUMBER: 0001104659-17-005818
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170131
FILED AS OF DATE: 20170201
DATE AS OF CHANGE: 20170201
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Affinity Gaming
CENTRAL INDEX KEY: 0001499268
STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011]
IRS NUMBER: 020815199
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3755 BREAKTHROUGH WAY
STREET 2: SUITE 300
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
BUSINESS PHONE: (702) 341-2400
MAIL ADDRESS:
STREET 1: 3755 BREAKTHROUGH WAY
STREET 2: SUITE 300
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
FORMER COMPANY:
FORMER CONFORMED NAME: Affinity Gaming, LLC
DATE OF NAME CHANGE: 20110630
FORMER COMPANY:
FORMER CONFORMED NAME: Herbst Gaming, LLC
DATE OF NAME CHANGE: 20100816
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zenni James Joseph JR
CENTRAL INDEX KEY: 0001530898
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 17565355
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z Capital Partners UGP, L.L.C.
CENTRAL INDEX KEY: 0001530862
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 17565356
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
FORMER NAME:
FORMER CONFORMED NAME: Z Capital Special Situations Fund UGP LLC
DATE OF NAME CHANGE: 20110921
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z CAPITAL PARTNERS GP II, L.P.
CENTRAL INDEX KEY: 0001664609
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 17565357
BUSINESS ADDRESS:
STREET 1: 150 N. FIELD DRIVE
STREET 2: SUITE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 N. FIELD DRIVE
STREET 2: SUITE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z Capital Partners GP I, L.P.
CENTRAL INDEX KEY: 0001530861
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 17565358
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
FORMER NAME:
FORMER CONFORMED NAME: Z Capital Special Situations Fund GP LP
DATE OF NAME CHANGE: 20110921
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zenni Holdings LLC
CENTRAL INDEX KEY: 0001530859
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 17565359
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE
STREET 2: STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z Capital Group, L.L.C.
CENTRAL INDEX KEY: 0001515358
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 17565361
BUSINESS ADDRESS:
STREET 1: 150 FIELD DRIVE, STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 FIELD DRIVE, STE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
FORMER NAME:
FORMER CONFORMED NAME: Z Capital Partners, L.L.C.
DATE OF NAME CHANGE: 20110314
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Z CAPITAL PARTNERS, L.L.C.
CENTRAL INDEX KEY: 0001664612
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 17565360
BUSINESS ADDRESS:
STREET 1: 150 N. FIELD DRIVE
STREET 2: SUITE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
BUSINESS PHONE: 847-235-8100
MAIL ADDRESS:
STREET 1: 150 N. FIELD DRIVE
STREET 2: SUITE 300
CITY: LAKE FOREST
STATE: IL
ZIP: 60045
4
1
a4.xml
4
X0306
4
2017-01-31
0
0001499268
Affinity Gaming
NONE
0001515358
Z Capital Group, L.L.C.
1330 AVENUE OF THE AMERICAS, 16TH FLOOR
NEW YORK
NY
10019
0
0
1
0
0001664612
Z CAPITAL PARTNERS, L.L.C.
1330 AVENUE OF THE AMERICAS, 16TH FLOOR
NEW YORK
NY
10019
0
0
1
0
0001530859
Zenni Holdings LLC
1330 AVENUE OF THE AMERICAS, 16TH FLOOR
NEW YORK
NY
10019
0
0
1
0
0001530861
Z Capital Partners GP I, L.P.
1330 AVENUE OF THE AMERICAS, 16TH FLOOR
NEW YORK
NY
10019
0
0
1
0
0001664609
Z CAPITAL PARTNERS GP II, L.P.
1330 AVENUE OF THE AMERICAS, 16TH FLOOR
NEW YORK
NY
10019
0
0
1
0
0001530862
Z Capital Partners UGP, L.L.C.
1330 AVENUE OF THE AMERICAS, 16TH FLOOR
NEW YORK
NY
10019
0
0
1
0
0001530898
Zenni James Joseph JR
1330 AVENUE OF THE AMERICAS, 16TH FLOOR
NEW YORK
NY
10019
1
0
1
0
Common Stock
2017-01-31
4
J
0
11987215
17.35
A
20405831
I
See Footenote
Pursuant to the Agreement and Plan of Merger, dated as of August 22, 2016, among Z Capital Affinity Owner, L.L.C., Affinity Merger Sub, Inc. ("Merger Sub") and Affinity Gaming (the "Merger Agreement"), at the effective time of the merger of Merger Sub with and into Affinity Gaming (the "Merger"), affiliates of Z Capital Partners, L.L.C. ("Z Capital") acquired all of the outstanding equity interests of Affinity Gaming not already owned by Z Capital, or an additional 11,987,215 shares. Following the Merger, Z Capital is the benefical owner of 100% of the equity interests of Affinity Gaming. The Merger is more completely described in the Company's Definitive Proxy Statement filed with the SEC on November 14, 2016. Each of the reporting persons disclaims beneficial ownership of the shares, except to the extent of its or his pecuniary interest therein.
Z CAPITAL GROUP, L.L.C., By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2017-01-31
Z CAPITAL PARTNERS, L.L.C., By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2017-01-31
ZENNI HOLDINGS, LLC, By: /s/ James J. Zenni, Name: James J. Zenni, Title: Sole Owner
2017-01-31
Z CAPITAL PARTNERS GP I, L.P., By: Z Capital Partners UGP, L.L.C., General Partner By: Z Capital Partners, L.L.C., Managing Member By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2017-01-31
Z CAPITAL PARTNERS GP II, L.P., By: Z Capital Partners UGP, L.L.C., General Partner By: Z Capital Partners, L.L.C., Managing Member By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2017-01-31
Z CAPITAL PARTNERS UGP, L.L.C., By: Z Capital Partners, L.L.C., Managing Member By: /s/ James J. Zenni, Name: James J. Zenni, Title: President
2017-01-31
JAMES J. ZENNI, By: /s/ James J. Zenni, Name: James J. Zenni
2017-01-31