-----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, Dy41zpQrTQ6tqvg/MzSXncfgdlaR1/7xbzzbkDAveveZqqVfzSTllK/xLQo1Tbek FdFKjqyMDMl6TIp/hJGnIA== 0001179110-04-005227.txt : 20040303 0001179110-04-005227.hdr.sgml : 20040303 20040303182439 ACCESSION NUMBER: 0001179110-04-005227 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040223 FILED AS OF DATE: 20040303 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: 04647121 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 2004-02-23 0 0000718789 SHUFFLE MASTER INC SHFL 0001207847 YOSELOFF MARK LAWRENCE 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 1 1 0 0 CEO & Chairman Stock Options 34.23 2004-02-23 4 A 0 55000 34.23 A 2005-10-31 2014-02-22 Common Stock 55000 718185 D Stock Options 34.23 2004-02-23 4 A 0 55000 34.23 A 2005-10-31 2014-02-22 Common Stock 55000 773185 D Stock Options 34.23 2004-02-23 4 A 0 55000 34.23 A 2006-04-30 2014-02-22 Common Stock 55000 828185 D Exercise date is earlier of October 31, 2005, or when the company stock reaches a certain target price. Exercise date is earlier of October 31, 2005, or when the company stock reaches a certain target price higher than the price of footnote 1, above. Exercise date is earlier of April 30, 2006, or when the company stock reaches a certain target price higher than the price of footnote 2, above. Jerome R. Smith, by Power of Attorney 2004-03-03 -----END PRIVACY-ENHANCED MESSAGE-----