-----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, D411rk60VXEO9QWhFB0crCYlP9WubSlGdAywUfoATEmyyPD7dOhc8g/z1y2HC7U9 EWvRYKpooecFjcPUiGbc6Q== 0001181431-04-039652.txt : 20040810 0001181431-04-039652.hdr.sgml : 20040810 20040810163159 ACCESSION NUMBER: 0001181431-04-039652 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040809 FILED AS OF DATE: 20040810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBSON KEN CENTRAL INDEX KEY: 0001207778 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 04964811 BUSINESS ADDRESS: STREET 1: 1809 WINDING WAY CITY: RICHMOND STATE: VA ZIP: 23235 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 MAIL ADDRESS: STREET 1: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119 4 1 rrd49983.xml EXERCISE AND HOLD X0202 4 2004-08-09 0 0000718789 SHUFFLE MASTER INC SHFL 0001207778 ROBSON KEN 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 1 0 0 0 Common Stock 2004-08-09 4 M 0 5000 10.8058 A 22625 D Stock Options 10.8058 2004-08-09 4 M 0 5000 10.8058 D 2001-03-28 2008-03-28 Common Stock 5000 25000 D Amount remaining from subject grant. Total options owned as of filing date is 109,000. Jerome R. Smith, by Power of Attorney 2004-08-10 -----END PRIVACY-ENHANCED MESSAGE-----