SEC Form 4 · accession 0001445866-17-000012
Galaxy Gaming, Inc. · GLXZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bryan W. Waters
Director
Period of report
Dec 31, 2016
Accepted (ET)
Jan 4, 2017 · 6:08 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000013156
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OptionF1 | $0.58 | Dec 31, 2016 | A | 25,000 | A | Dec 31, 2016 | Dec 31, 2021 | Common Stock | 25,000 | 175,000 | D |
Explanation of responses
- F1Shares were received in connection with the Reporting Person's service on the Issuer's Board of Directors.