-----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, QYWe60tj0sdBSPInapzV/XtZUSJX+vt/lN5aNa/SbOsztrNkUg6yOyeIH9y7GENk 0Z93Bw4aSZND+ii6tamD3Q== 0001179110-04-010030.txt : 20040510 0001179110-04-010030.hdr.sgml : 20040510 20040510174451 ACCESSION NUMBER: 0001179110-04-010030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040506 FILED AS OF DATE: 20040510 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: 04794414 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 - X0202 4 2004-05-06 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 2004-05-06 4 A 0 30000 32.6 A 332236 D Stock Options 32.6 2004-05-06 4 A 0 70000 32.6 A 2005-10-31 2014-05-05 Common Stock 70000 70000 D Stock Options 2.3519 2008-10-25 Common Stock 18750 18750 D Stock Options 2.9393 2008-10-25 Common Stock 7019 7019 D Stock Options 2.5185 2009-11-03 Common Stock 24138 24138 D Stock Options 6.6852 2010-11-20 Common Stock 21438 21438 D Stock Options 7.9 2011-09-18 Common Stock 108435 108435 D Stock Options 7.9 2004-09-19 2011-09-18 Common Stock 67343 67343 D Stock Options 7.9 2004-09-19 2011-09-18 Common Stock 12657 12657 D Stock Options 14.6067 2012-11-04 Common Stock 37500 37500 D Stock Options 14.6067 2004-11-05 2012-11-04 Common Stock 37500 37500 D Stock Options 14.6067 2005-11-05 2012-11-04 Common Stock 30654 30654 D Stock Options 14.6067 2006-11-05 2012-11-04 Common Stock 30654 30654 D Stock Options 14.6067 2005-11-05 2012-11-04 Common Stock 6846 6846 D Stock Options 14.6067 2006-11-05 2012-11-04 Common Stock 6846 6846 D Stock Options 12.8067 2013-03-11 Common Stock 22500 22500 D Stock Options 12.8067 2005-03-12 2013-03-11 Common Stock 22500 22500 D Stock Options 12.8067 2006-03-12 2013-03-11 Common Stock 22500 22500 D Stock Options 12.8067 2007-03-12 2013-03-11 Common Stock 14693 14693 D Stock Options 12.8067 2007-03-12 2013-03-11 Common Stock 7808 7808 D Stock Options 18.5 2004-10-23 2013-10-22 Common Stock 22500 22500 D Stock Options 18.5 2005-10-23 2013-10-22 Common Stock 22500 22500 D Stock Options 18.5 2006-10-23 2013-10-22 Common Stock 22500 22500 D Stock Options 18.5 2007-10-23 2013-10-22 Common Stock 22500 22500 D Stock Options 22.82 2014-02-22 Common Stock 247500 247500 D On April 5, 2004, the common stock of the company split 3-for-2, resulting in the reporting person's acquisition of 101079 additional shares of common stock. These options were previously reported as 12,500 shares at an exercise price of $3.5278, but was adjusted to reflect the split on April 5, 2004. Currently exercisable. These options were previously reported as 4,679 shares at an exercise price of $4.4089, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 16,092 shares at an exercise price of $3.7778, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 14,292 shares at an exercise price of $10.0278, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 72,290 shares at an exercise price of $11.85, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 44,895 shares at an exercise price of $11.85, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 8,438 shares at an exercise price of $11.85, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 25,000 shares at an exercise price of $21.91, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 20,436 shares at an exercise price of $21.91, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 4,564 shares at an exercise price of $21.91, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 15,000 shares at an exercise price of $19.21, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 9,795 shares at an exercise price of $19.21, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 5,205 shares at an exercise price of $19.21, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 15,000 shares at an exercise price of $27.75, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as 165,000 shares at an exercise price of $34.23, but was adjusted to reflect the split on April 5, 2004. These options were previously reported as exercisable the earlier of certain target dates or when the company stock reaches a certain target price. The target price has now been reached, thus these options are now currently exercisable. Jerome R. Smith, by Power of Attorney 2004-05-07 -----END PRIVACY-ENHANCED MESSAGE-----