0001209191-17-026392.txt : 20170410 0001209191-17-026392.hdr.sgml : 20170410 20170410151314 ACCESSION NUMBER: 0001209191-17-026392 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161110 FILED AS OF DATE: 20170410 DATE AS OF CHANGE: 20170410 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FULL HOUSE RESORTS INC CENTRAL INDEX KEY: 0000891482 STANDARD INDUSTRIAL CLASSIFICATION: HOTELS & MOTELS [7011] IRS NUMBER: 133391527 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4670 S. FORT APACHE ROAD STREET 2: SUITE 190 CITY: LAS VEGAS STATE: NV ZIP: 89147 BUSINESS PHONE: 7022217800 MAIL ADDRESS: STREET 1: 4670 S. FORT APACHE ROAD STREET 2: SUITE 190 CITY: LAS VEGAS STATE: NV ZIP: 89147 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tirpak Bradley M CENTRAL INDEX KEY: 0001484439 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32583 FILM NUMBER: 17753130 MAIL ADDRESS: STREET 1: 50 ORCHARD ST. CITY: NEW YORK STATE: NY ZIP: 10002 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2016-11-10 2016-11-15 0 0000891482 FULL HOUSE RESORTS INC FLL 0001484439 Tirpak Bradley M C/O FULL HOUSE RESORTS, INC. 4670 SOUTH FORT APACHE, SUITE 190 LAS VEGAS NV 89147 1 0 0 0 Common Stock 2016-11-10 4 M 0 117450 1.30 A 661336 D Subscription Rights (Right to Buy) 1.30 2016-11-10 4 M 0 117450 0.00 A 2016-10-07 2016-11-04 Common Stock 117450 0 D A total of three shares were omitted from the reporting person's original Form 4. /s/ Lewis Fanger, Attorney-in-Fact 2017-04-07