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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FERTITTA LORENZO J 2411 WEST SAHARA AVENUE LAS VEGAS, NV 89102 |
 X |  |  Vice Chairman and President |  |
Lorenzo J. Fertitta | 02/14/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Lorenzo J. Fertitta and Teresa Jo Fertitta Family Trust u/a/d 6/24/91, as amended and restated (formerly the LJF Trust). STN shares held as husband's separate property. |
(2) | The Lorenzo J. Fertitta 2004 QuickGRAT u/a/d 2/26/04. |
(3) | Gift. |
(4) | Activity is for the Lorenzo J. Fertitta, Jr. Trust u/a/d 12/13/94, and/or the Nicco J. Fertitta Trust u/a/d 11/7/96, and/or the Angelia T. Fertitta Trust u/a/d 7/10/01 (F/B/O the reporting person's minor children), of which the reporting person is Settlor. |
(5) | The amount represents an exchange of stock of 270,717 shares of Station Casinos, Inc. common stock between the reporting person and a GRAT of which the reporting person is the Trustee. Each transfer of common stock of the Issuer between the reporting person and the GRAT qualifies as only a change in form of the reporting person's beneficial ownership which does not change the number of shares beneficially owned by the reporting person or the GRAT, directly or indirectly. |
(6) | This amount represents the transfer of stock of 345,515 shares of Station Casinos, Inc. common stock between a GRAT and the Lorenzo J. Fertitta Family Irrevocable Trust dtd 2/26/2004 (the "Remainder Beneficiary Trust") of which the reporting person is the Trustee/Settlor. Each transfer of common stock of the Issuer between the GRAT and Remainder Beneficiary Trust qualifies as only a change in form of the reporting person's beneficial ownership which does not change the number of shares beneficially owned by the reporting person, the GRAT, or the Remainder Beneficiary Trust directly or indirectly. |
(7) | The Remainder Beneficiary Trust. |
(8) | Activity reflects the transfer of stock of Station Casinos, Inc. common stock between the reporting person's various minor children's trusts, of which the reporting person is Settlor/Trustee and LNA Investments, LLC (F/B/O the reporting person's minor children) (the "LLC") of which the reporting person is Manager. Each transfer of common stock of the Issuer between the various trusts and the LLC qualifies as only a change in form of the reporting person's benefical ownership which does not change the number of shares beneficially owned by the reporting person, the various trusts, or the LLC, directly or indirectly. |
(9) | The L. Fertitta Children's Trust u/a/d 5/21/93 (F/B/O the reporting person's minor children) of which reporting person is Settlor/Trustee. |
(10) | LNA Investments, LLC (F/B/O the reporting person's minor children) of which the reporting person is Manager. |