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