-----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, Cz6gy8rle85QuXeiW6kCj2HA+BWqB1t5wYoRJ4GkT8AxZcwBBei5+xS94dKzrm7B /57eTCpLg7L4Kn958XwY/Q== 0001181431-04-056757.txt : 20041203 0001181431-04-056757.hdr.sgml : 20041203 20041203184924 ACCESSION NUMBER: 0001181431-04-056757 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041201 FILED AS OF DATE: 20041203 DATE AS OF CHANGE: 20041203 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUNN BROOKE CENTRAL INDEX KEY: 0001246101 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 041185011 MAIL ADDRESS: STREET 1: C/O SHUFFLE MASTER, INC. STREET 2: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119 4 1 rrd59755.xml 12/01/2004 GRANT & RESTRICTED SHARES X0202 4 2004-12-01 0 0000718789 SHUFFLE MASTER INC SHFL 0001246101 DUNN BROOKE 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 0 0 1 Senior Vice President Common Stock 2004-12-01 4 A 0 5000 45.84 A 58000 D Stock Options 45.84 2004-12-01 4 A 0 4000 45.84 A 2005-12-01 2014-11-30 Common Stock 4000 4000 D Stock Options 45.84 2004-12-01 4 A 0 4000 45.84 A 2006-12-01 2014-11-30 Common Stock 4000 4000 D Stock Options 45.84 2004-12-01 4 A 0 4000 45.84 A 2007-12-01 2014-11-30 Common Stock 4000 4000 D Stock Options 45.84 2004-12-01 4 A 0 4000 45.84 A 2008-12-01 2014-11-30 Common Stock 4000 4000 D Stock Options 45.84 2004-12-01 4 A 0 4000 45.84 A 2009-12-01 2014-11-30 Common Stock 4000 4000 D Jerome R. Smith, by Power of Attorney 2004-12-03 -----END PRIVACY-ENHANCED MESSAGE-----