0001071255-23-000018.txt : 20230316 0001071255-23-000018.hdr.sgml : 20230316 20230316193014 ACCESSION NUMBER: 0001071255-23-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220808 FILED AS OF DATE: 20230316 DATE AS OF CHANGE: 20230316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SARTINI DELISE F CENTRAL INDEX KEY: 0000939978 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 23740312 MAIL ADDRESS: STREET 1: 2411 WEST SAHARA AVENUE CITY: LAS VEGAS STATE: NV ZIP: 89102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blake L. Sartini & Delise F. Sartini Family Trust CENTRAL INDEX KEY: 0001649906 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 23740313 BUSINESS ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 BUSINESS PHONE: 7024954377 MAIL ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SARTINI BLAKE L CENTRAL INDEX KEY: 0000939979 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24993 FILM NUMBER: 23740314 MAIL ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS, NV, USA STATE: NV ZIP: 89118 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GOLDEN ENTERTAINMENT, INC. CENTRAL INDEX KEY: 0001071255 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 411913991 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 BUSINESS PHONE: 7028914284 MAIL ADDRESS: STREET 1: 6595 S JONES BLVD CITY: LAS VEGAS STATE: NV ZIP: 89118 FORMER COMPANY: FORMER CONFORMED NAME: LAKES ENTERTAINMENT INC DATE OF NAME CHANGE: 20020806 FORMER COMPANY: FORMER CONFORMED NAME: LAKES GAMING INC DATE OF NAME CHANGE: 19980929 4 1 wf-form4_167900939772642.xml FORM 4 X0306 4 2022-08-08 0 0001071255 GOLDEN ENTERTAINMENT, INC. GDEN 0000939979 SARTINI BLAKE L 6595 S. JONES BLVD. LAS VEGAS NV 89118 1 1 1 0 Chairman and CEO 0001649906 Blake L. Sartini & Delise F. Sartini Family Trust 6595 S. JONES BLVD. LAS VEGAS NV 89118 0 0 1 0 0000939978 SARTINI DELISE F 6595 S. JONES BLVD. LAS VEGAS NV 89118 0 0 1 0 Common Stock 2022-08-08 4 G 0 243901 0 D 558370 D Common Stock 2022-08-08 4 A 0 243901 0 A 5244788 I By Trust On August 8, 2022, Blake L. Sartini contributed 243,901 shares of common stock to The Blake L. Sartini and Delise F. Sartini Family Trust (the "Trust"), of which Blake L. Sartini and Delise F. Sartini are co-trustees. Shares are owned directly by the Trust. /s/ Charles H. Protell, attorney-in-fact 2023-03-16