UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
(Amendment No. 2)
For the fiscal year ended
For the transition period from to
Commission file number:
(Exact name of small business issuer as specified in its charter)
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(State or other jurisdiction of incorporation or organization) |
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(IRS Employer Identification No.) |
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(Address of principal executive offices)
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(Registrant’s telephone number) |
Securities registered under Section 12(b) of the Act:
Title of each class |
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Trading symbol |
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Name of exchange on which registered |
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OTCQB marketplace |
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐
Indicate by checkmark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Indicate by check mark whether the issuer has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐ Accelerated filer ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standard provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes
State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant’s second fiscal quarter $
Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date:
DOCUMENTS INCORPORATED BY REFERENCE
Auditor Name:
Item 12 is incorporated by reference into Part III of this Annual Report on Form 10-K.
Explanatory Note
This Amendment No. 2 on Form 10-K/A ("Amendment No. 2") is being filed to amend our Annual Report on Form 10-K for the fiscal year ended December 31, 2022 ("the "Original Filing"), filed with the U.S. Securities and Exchange Commission on March 31, 2023 (the "Original Filing Date"). The sole purpose of this Amendment No. 2 is to amend the "Security Ownership" table found in Item 12 to: (1) include Beneficial Owner Tice Brown's Amount of Beneficial Ownership and Percent of Class held; (2) amend total exercisable options held by Todd Cravens, CEO to 474,500 (previously disclosed as 574,500); and (3) amend the allocation of shares held by Mark Lipparelli and Mark Allen Lipparelli TTEE to 1,813,648 shares and 130,000 shares respectively.
In accordance with Rule 12b-15 under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), Part III, Item 12 is hereby amended and restated in its entirety, and Part IV, Item 15 of the Original Report is hereby amended and restated only with respect to the addition to Item 15 of the new certifications by our Chief Executive Officer and Chief Financial Officer filed herewith. Because no financial statements have been included in this Amendment and this Amendment does not contain or amend any disclosure with respect to Items 307 and 308 of Regulation S-K, paragraphs 3, 4, and 5 of the certifications have been omitted.
PART III
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT, AND RELATED STOCKHOLDER MATTERS
The following table sets forth, as of March 15, 2023, the beneficial ownership of our common stock by each executive officer and director, by each person known by us to beneficially own more than 5% of our common stock and by the executive officers and directors as a group. Unless otherwise indicated, the named persons possess sole voting and investment power with respect to the shares listed (except to the extent such authority is shared with spouses under applicable law). The percentages are based upon a total of 24,985,598 shares as of March 15, 2023, consisting of 24,411,098 shares outstanding and 574,500 stock options and restricted stock, which are exercisable at March 15, 2023 or within 60 days.
Name of Beneficial Owner |
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Amount of |
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Percent of Class |
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Mark A. Lipparelli, Director(1) |
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1,943,648 |
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7.96 |
% |
Michael Gavin Isaacs, Director(2) |
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269,919 |
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1.11 |
% |
Meredith Brill, Director(3) |
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355,840 |
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1.46 |
% |
Bryan W. Waters, Director(4) |
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550,648 |
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2.26 |
% |
Cheryl A. Kondra(5) |
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100,557 |
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0.41 |
% |
Todd P. Cravens, President and Chief Executive Officer(6) |
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920,220 |
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3.77 |
% |
Harry C. Hagerty, Chief Financial Officer(7) |
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990,500 |
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4.06 |
% |
Total of All Directors and Executive Officers (7 persons) |
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5,131,332 |
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21.03 |
% |
Tice Brown(8) |
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1,409,063 |
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5.77 |
% |
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PART IV
ITEM 15. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
Exhibit Number |
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Description |
Form |
File No. |
Exhibit |
Filing Date |
Filed Herewith |
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31.1 |
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X |
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31.2 |
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X |
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32.1 |
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X |
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101.INS |
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Inline XBRL Instance Document – the instance does not appear in the Interactive Data File because XBRL tags are embedded within the Inline XBRL document |
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101.SCH |
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Inline XBRL Taxonomy Extension Schema Document |
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101.CAL |
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Inline XBRL Taxonomy Extension Calculation Linkbase Document |
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101.DEF |
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Inline XBRL Taxonomy Extension Definition Linkbase Document |
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101.LAB |
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Inline XBRL Taxonomy Extension Label Linkbase Document |
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101.PRE |
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Inline XBRL Taxonomy Extension Presentation Linkbase Document |
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104 |
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Cover Page Interactive Data File (embedded within the Inline XBRL document |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
GALAXY GAMING, INC.
Date: |
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June 30, 2023 |
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By: |
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/s/ TODD P. CRAVENS |
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Todd P. Cravens |
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President and Chief Executive Officer |
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(Principal Executive Officer) |
Date: |
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June 30, 2023 |
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By: |
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/s/ HARRY C. HAGERTY |
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Harry C. Hagerty |
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Chief Financial Officer |
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(Principal Financial Officer) |
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated:
Signature |
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Title |
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Date |
/s/ TODD P. CRAVENS |
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President and Chief Executive Officer |
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June 30, 2023 |
Todd P. Cravens |
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(Principal Executive Officer) |
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/s/ HARRY C. HAGERTY |
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Chief Financial Officer |
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June 30, 2023 |
Harry C. Hagerty |
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(Principal Financial Officer) |
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* |
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Chairman of the Board of Directors |
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Mark A. Lipparelli
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Director |
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Michael Gavin Isaacs |
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* |
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Director |
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Meredith Brill
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Director |
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Bryan W. Waters |
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* |
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Director |
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Cheryl A. Kondra |
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* Previously filed
X Filed herewith
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