-----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, FDxnkkxOsdQ4lfGKS7zZxYkRLBMBnLtCZek2+FUJYodrE6dsyo3hYj9qPLID1aeo yaoZhkJRMv9WRKiOIJdSsg== 0001181431-04-058972.txt : 20041215 0001181431-04-058972.hdr.sgml : 20041215 20041215162303 ACCESSION NUMBER: 0001181431-04-058972 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041214 FILED AS OF DATE: 20041215 DATE AS OF CHANGE: 20041215 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: 041205129 BUSINESS ADDRESS: STREET 1: SHUFFLE MASTER INC STREET 2: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119-3730 BUSINESS PHONE: 7022705130 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 rrd61398.xml OPTION EXERCISE & GIFT 12/13/04 X0202 4 2004-12-14 0 0000718789 SHUFFLE MASTER INC SHFL 0001207847 YOSELOFF MARK LAWRENCE 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 1 1 0 0 CEO and Chairman Common Stock 2004-12-13 4 M 0 3100 7.9 A 346036 D Common Stock 2004-12-13 5 G 0 3100 D 342936 D Stock Options 7.9000 2004-12-13 4 M 0 3100 7.9000 D 2002-09-19 2011-09-18 Common Stock 3100 25336 D Of the 3,100 gifted shares, 3,000 were to a charitable foundation unaffiliated with Dr. Yoseloff. Gift. Jerome R. Smith, by Power of Attorney 2004-12-15 -----END PRIVACY-ENHANCED MESSAGE-----