-----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, A2BLW/0gx1ezUrtCBUVewiREvBjgbJe4g91BxTnXP55zJh9WgSjSvT1avhfSbz77 zi26Gv00ORvlSmXbJg5ilA== 0001179110-03-009918.txt : 20031104 0001179110-03-009918.hdr.sgml : 20031104 20031104142711 ACCESSION NUMBER: 0001179110-03-009918 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031103 FILED AS OF DATE: 20031104 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: 03975754 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 2003-11-03 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 Common Stock 2003-11-03 4 M 0 2500 10.0278 A 4500 D Common Stock 2003-11-03 4 S 0 2500 30.95 D 2000 D Stock Options 10.0278 2003-11-03 4 M 0 2500 10.0278 D 2002-11-21 2010-11-20 Common Stock 2500 114500 D All sales made pursuant to stock sales plan dated August 25, 2003, entered into pursuant to the requirement of Rule 10b5-1 adopted pursuant to the Securities and Exchange Act of 1934, as amended. Jerome R. Smith, by Power of Attorney 2003-11-03 -----END PRIVACY-ENHANCED MESSAGE-----