SEC Form 4 · accession 0001104659-16-106295
Affinity Gaming
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Z Capital Group, L.L.C.
10% Owner
Zenni Holdings LLC
10% Owner
Z Capital Partners GP I, L.P.
10% Owner
Z Capital Partners UGP, L.L.C.
10% Owner
James Joseph Zenni Jr.
Director · 10% Owner
Z CAPITAL PARTNERS GP II, L.P.
10% Owner
Z CAPITAL PARTNERS, L.L.C.
10% Owner
Period of report
Mar 16, 2016
Accepted (ET)
Mar 18, 2016 · 1:50 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001499268
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3,F4 | Mar 16, 2016 | A | 16,666 | $0.00 | A | 8,263,047 | I | See footnotes |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These 16,666 shares of time-vested restricted stock were part of an issuance of restricted stock to non-executive members of the Affinity Gaming board of directors (the "Board"). Pursuant to certain agreements governing investment funds affiliated with Z Capital Partners, L.L.C. ("Investment Funds"), any shares issued to James. J. Zenni, Jr. ("Mr. Zenni") and Andrei Scrivens ("Mr. Scrivens"), each a member of the Board, automatically revert to the Investment Funds. Accordingly, the Board's Compensation Committee awarded the shares directly to GP I, rather than to Mr. Zenni and Mr. Scrivens. The shares vest in equal one-half amounts on March 16, 2016 and January 1, 2017.
- F2Includes 5,594,272.10 shares that may be deemed to be indirectly beneficially owned by GP I, as the general partner or managing member of certain private funds; Z Capital Partners UGP, L.L.C. ("UGP"), as the general partner of GP I; Z Capital Partners, L.L.C. ("Z Capital Partners"), as the managing member of UGP; Z Capital Group, L.L.C. ("Z Capital Group"), as the managing member of Z Capital Partners; Zenni Holdings, LLC ("Zenni Holdings"), as the managing member of Z Capital Group; and Mr. Zenni, as the President of Z Capital Partners and the sole owner of Zenni Holdings.
- F3Includes 2,668,775.30 shares that may be deemed to be indirectly beneficially owned by Z Capital Partners GP II, L.P. ("GP II"), as the general partner of certain private funds; UGP, as the general partner of GP II; Z Capital Partners, as the managing member of UGP; Z Capital Group, as the managing member of Z Capital Partners; Zenni Holdings, as the managing member of Z Capital Group; and Mr. Zenni, as the President of Z Capital Partners and the sole owner of Zenni Holdings.
- F4Each Reporting Person disclaims beneficial ownership of the shares reported herein except to the extent of his or its pecuniary interest therein.
Remarks
This Form 4 is being filed to report 16,666 shares of time-vested restricted stock of Affinity Gaming issued to Z Capital Partners GP I, L.P. ("GP I"). Please note that, as further described in Schedule 13D Amendment No. 27 filed with the Securities and Exchange Commission on February 1, 2016 ("Schedule 13D Amendment No. 27"), the names of several of the Reporting Persons have changed, and new Reporting Persons have been added in connection with a non-substantive internal restructuring. Please refer to Schedule 13D Amendment No. 27 for more information.