-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Q6lWoqrvoD709t01YC4bQAII+bCS41B5CQZOMUGgTYor8RyvOFT1b8l+n3bzsHeB xIdc9ot3TF20ehts2aMVUA== 0001179110-03-009262.txt : 20031024 0001179110-03-009262.hdr.sgml : 20031024 20031024192205 ACCESSION NUMBER: 0001179110-03-009262 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031023 FILED AS OF DATE: 20031024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOSLOW GERALD WILLIAM CENTRAL INDEX KEY: 0001207795 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 03957311 BUSINESS ADDRESS: STREET 1: SHUFFLE MASTER INC STREET 2: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119-3730 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHUFFLE MASTER INC CENTRAL INDEX KEY: 0000718789 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990] IRS NUMBER: 411448495 STATE OF INCORPORATION: MN FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119 BUSINESS PHONE: 7028977150 4 1 edgar.xml FORM 4 - X0201 4 2003-10-23 0 0000718789 SHUFFLE MASTER INC SHFL 0001207795 KOSLOW GERALD WILLIAM 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 1 0 0 Senior VP & CFO Stock Options 27.75 2003-10-23 4 A 0 5000 27.75 A 2004-10-23 2013-10-22 Common Stock 5000 108000 D Stock Options 27.75 2003-10-23 4 A 0 5000 27.75 A 2005-10-23 2013-10-22 Common Stock 5000 113000 D Stock Options 27.75 2003-10-23 4 A 0 5000 27.75 A 2006-10-23 2013-10-22 Common Stock 5000 118000 D Stock Options 27.75 2003-10-23 4 A 0 5000 27.75 A 2007-10-23 2013-10-22 Common Stock 5000 123000 D Jerome R. Smith, by Power of Attorney 2003-10-24 -----END PRIVACY-ENHANCED MESSAGE-----