-----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, RCKuF82UAatz+9wwR4xVhNPY+JPkCPvXgrhWdP00Q9fKKSkH8dX0/UaSaKa0Y/aW iefrGs6brOvqQBhtlXA9cg== 0001179110-03-013273.txt : 20031223 0001179110-03-013273.hdr.sgml : 20031223 20031223122351 ACCESSION NUMBER: 0001179110-03-013273 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031222 FILED AS OF DATE: 20031223 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: YOSELOFF MARK LAWRENCE CENTRAL INDEX KEY: 0001207847 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 031070135 BUSINESS ADDRESS: STREET 1: SHUFFLE MASTER INC STREET 2: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119-3730 BUSINESS PHONE: 7022705130 4 1 edgar.xml FORM 4 - X0201 4 2003-12-22 0 0000718789 SHUFFLE MASTER INC SHFL 0001207847 YOSELOFF MARK LAWRENCE 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 1 1 0 0 CEO & Chairman Common Stock 2003-12-22 4 M 0 21818 3.6667 A 132157 D Stock Option 3.6667 2003-12-22 4 M 0 21818 3.6667 D 1998-10-27 2007-10-26 Common Stock 21818 663185 D Jerome R. Smith, by Power of Attorney 2003-12-22 -----END PRIVACY-ENHANCED MESSAGE-----