Statement of Changes in Beneficial Ownership (4)
September 18 2020 - 7:00PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Lopez David |
2. Issuer Name and Ticker or Trading Symbol
PlayAGS, Inc.
[
AGS
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Executive Officer |
(Last)
(First)
(Middle)
5475 S. DECATUR BLVD. STE. 100 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/16/2020 |
(Street)
LAS VEGAS, NV 89118
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 9/16/2020 | | G(1) | | 6475 | D | $0 | 127534 | D | |
Common Stock | 9/16/2020 | | G(1) | | 6475 | D | $0 | 121059 | D | |
Common Stock | 9/16/2020 | | G(1) | | 6475 | D | $0 | 114584 | D | |
Common Stock | 9/16/2020 | | G(1) | | 6475 | D | $0 | 108109 | D | |
Common Stock | 9/16/2020 | | G(1) | | 6475 | A | $0 | 8910 | I | By son |
Common Stock | 9/16/2020 | | G(1) | | 6475 | A | $0 | 8910 | I | By son |
Common Stock | 9/16/2020 | | G(1) | | 6475 | A | $0 | 8910 | I | By son |
Common Stock | 9/16/2020 | | G(1) | | 6475 | A | $0 | 8910 | I | By son |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | This transaction involved gifts of securities by the reporting person to trusts for the benefit of his sons. The reporting person disclaims beneficial ownership of the shares held by his sons, and this report should be deemed an admission that the reporting person is the beneficial owner of his sons' shares for purposes of Section 16 or for any other purpose. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Lopez David 5475 S. DECATUR BLVD. STE. 100 LAS VEGAS, NV 89118 | X |
| Chief Executive Officer |
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Signatures
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/s/Victor Gallo, Attorney in Fact | | 9/18/2020 |
**Signature of Reporting Person | Date |
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