-----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, J6fcWKgDJSIEAYmj0vlZMmZpd4ALz1h1kqQw/eTuknOKe3XpmmUCNMm2AxHl7u0n 5WHkp/6BRnu+DazzJPAkzg== 0001181431-04-049543.txt : 20041029 0001181431-04-049543.hdr.sgml : 20041029 20041029155230 ACCESSION NUMBER: 0001181431-04-049543 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031023 FILED AS OF DATE: 20041029 DATE AS OF CHANGE: 20041029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MEYER PAUL C CENTRAL INDEX KEY: 0001204010 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 041106399 BUSINESS ADDRESS: STREET 1: CONCURRENT COMPUTER CORP. STREET 2: 4375 RIVER GREEN PARKWAY CITY: DULUTH STATE: GA ZIP: 30096 MAIL ADDRESS: STREET 1: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119 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 3/A 1 rrd56140.xml FORM 3 AMENDMENT X0202 3/A 2003-10-23 2003-10-24 0 0000718789 SHUFFLE MASTER INC SHFL 0001204010 MEYER PAUL C 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 1 0 0 President and COO Stock Options 27.49 2004-09-29 2013-09-28 Common Stock 25000 D Stock Options 27.49 2005-09-29 2013-09-28 Common Stock 25000 D Stock Options 27.49 2006-09-29 2013-09-28 Common Stock 25000 D Stock Options 27.49 2007-09-29 2013-09-28 Common Stock 25000 D Date was inadvertently erroneously reported on Form 3 filed 10/24/2003 Number of shares is pre-April 5, 2004 stock split Stock price was inadvertently erroneously reported as $27.75 on Form 3 filed 10/24/2003. Price is pre-April 5, 2004 stock split Amendment is filed to correct grant date, exercisable date and exercise price. Options were granted on 9/29/2003. Reporting owner became an Officer on 10/23/2003. Jerome R. Smith, by Power of Attorney 2004-10-29 -----END PRIVACY-ENHANCED MESSAGE-----