-----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, FrJcQdTYfrg6MtJw1fY4Ltx2rqLLxdGgBR/Eh4PZNihKRd9rBSaXqJHEHW9khF5y S0H11V8ohUzhNM9GDmO4nA== 0001181431-04-048276.txt : 20041021 0001181431-04-048276.hdr.sgml : 20041021 20041021143430 ACCESSION NUMBER: 0001181431-04-048276 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041020 FILED AS OF DATE: 20041021 DATE AS OF CHANGE: 20041021 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: 041089446 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 rrd55279.xml 10/20/04 GRANT X0202 4 2004-10-20 0 0000718789 SHUFFLE MASTER INC SHFL 0001207778 ROBSON KEN 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 1 0 0 0 Stock Options 36.53 2004-10-20 4 A 0 5000 36.53 A 2004-10-20 2014-10-19 Common Stock 5000 5000 D Jerome R. Smith by Power of Attorney 2004-10-20 -----END PRIVACY-ENHANCED MESSAGE-----