0001209191-16-110292.txt : 20160323
0001209191-16-110292.hdr.sgml : 20160323
20160323190343
ACCESSION NUMBER: 0001209191-16-110292
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160316
FILED AS OF DATE: 20160323
DATE AS OF CHANGE: 20160323
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: Solomon Jeffrey
CENTRAL INDEX KEY: 0001668556
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54085
FILM NUMBER: 161525114
MAIL ADDRESS:
STREET 1: C/O AFFINITY GAMING
STREET 2: 3755 BREAKTHROUGH WAY, SUITE 300
CITY: LAS VEGAS
STATE: NV
ZIP: 89135
4/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2016-03-16
2016-03-18
0
0001499268
Affinity Gaming
NONE
0001668556
Solomon Jeffrey
C/O AFFINITY GAMING
3755 BREAKTHROUGH WAY, SUITE 300
LAS VEGAS
NV
89135
0
1
0
0
Senior VP and COO
Common Stock
2016-03-16
4
A
0
18000
0.00
A
18000
D
Common Stock
2016-03-16
4
A
0
15000
0.00
A
33000
D
Stock Option (Right to Buy)
12.00
2016-03-16
4
A
0
80000
0.00
A
2021-03-16
Common Stock
80000
80000
D
This transaction was unintentionally omitted from the reporting person's Form 4 filed on March 18, 2016.
On March 16, 2016, the reporting person was issued 18,000 shares of restricted stock of the issuer. The shares vest in equal 1/3 increments on March 1, 2017, March 1, 2018 and March 1, 2019.
On March 16, 2016, the reporting person was issued 15,000 shares of restricted stock of the issuer. The shares vest in upon the execution of a binding agreement for an acquisition of the issuer or substantially all of the issuer's assets at a price or net asset valuation of $22.50 per share or greater, as may be adjusted by the issuer's board of directors.
40,000 options will become exercisable in 1/3 increments on March 31, 2017, March 31, 2018 and March 31, 2019, and 40,000 options vest on those three dates in 1/3 increments or less dependent upon the achievement of performance-based conditions.
/s/ Marc H. Rubinstein, as Attorney-in-Fact for Jeffrey Solomon
2016-03-23