Attached files

file filename
S-1/A - AMENDMENT NO.1 TO FORM S-1 - EMPIRE RESORTS INCd515214ds1a.htm
EX-5.1 - EX-5.1 - EMPIRE RESORTS INCd515214dex51.htm
EX-23.2 - EX-23.2 - EMPIRE RESORTS INCd515214dex232.htm
EX-99.7 - EX-99.7 - EMPIRE RESORTS INCd515214dex997.htm
EX-99.3 - EX-99.3 - EMPIRE RESORTS INCd515214dex993.htm
EX-99.4 - EX-99.4 - EMPIRE RESORTS INCd515214dex994.htm
EX-23.3 - EX-23.3 - EMPIRE RESORTS INCd515214dex233.htm
EX-99.1 - EX-99.1 - EMPIRE RESORTS INCd515214dex991.htm
EX-99.2 - EX-99.2 - EMPIRE RESORTS INCd515214dex992.htm
EX-99.5 - EX-99.5 - EMPIRE RESORTS INCd515214dex995.htm

Exhibit 99.6

EMPIRE RESORTS, INC.

UP TO 6,032,153 SHARES OF COMMON STOCK

ISSUABLE UPON EXERCISE OF NON-TRANSFERABLE RIGHTS

TO SUBSCRIBE FOR SUCH SHARES

NOMINEE HOLDER CERTIFICATION

The undersigned, a bank, custodian bank or other nominee holder (the “Nominee Holder”) of rights (the “Subscription Rights”) to purchase shares of common stock, par value $0.01 per share (the “Shares”) of EMPIRE RESORTS, INC. (the “Company”), pursuant to the rights offering described in the Company’s prospectus, dated April [    ], 2013 (the “Prospectus”), hereby certifies to the Company and Continental Stock Transfer & Trust Company, as subscription agent for the rights offering, that the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), the Subscription Rights to subscribe for the number of Shares specified below under the basic subscription right, and on behalf of beneficial owners of Subscription Rights who have exercised their basic subscription rights in full, requests to subscribe for the number of additional Shares specified below pursuant to the oversubscription right, the terms of which are described further in the Prospectus, listing separately each exercised basic subscription right and any corresponding oversubscription right as to each beneficial owner (without identifying any such beneficial owner) for whom the Nominee Holder is acting hereby:

 

 

NUMBER OF

SHARES OWNED

ON RECORD DATE

    NUMBER OF SHARES SUBSCRIBED FOR PURSUANT TO BASIC SUBSCRIPTION RIGHT    

NUMBER OF SHARES

SUBSCRIBED FOR

PURSUANT TO

OVERSUBSCRIPTION RIGHT

1.

 

 

   

 

   

 

2.

 

 

   

 

   

 

3.

 

 

   

 

   

 

4.

 

 

   

 

   

 

5.

 

 

   

 

   

 

[Certification continues on the following page]

 

                                                                                                                                                                                           

 

                                                                                                                                                     

 

Name of Broker, Custodian Bank or Other Nominee

 

By:

  

 

  
   Authorized Signature   

Name:

  

 

  
   (please type or print)   

 

Provide the following information if applicable:                         

 

 

 

Depository Trust Company (“DTC”)

 

Participant Number

 


 

Participant

By:

 

 

Name:

 

 

Title:

 

 

DTC Subscription Confirmation Numbers