-----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, CJw3AAURjR85GNyF+n51Srt1skFUjj9T49k+M4x++Sn4r4x3hg6CPESx6MhJpaSd wHzXNR48gofvvjmv7FNOeQ== 0001181431-05-008340.txt : 20050209 0001181431-05-008340.hdr.sgml : 20050209 20050209182741 ACCESSION NUMBER: 0001181431-05-008340 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050207 FILED AS OF DATE: 20050209 DATE AS OF CHANGE: 20050209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH JEROME R CENTRAL INDEX KEY: 0001285105 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 05590088 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 4 1 rrd67590.xml SMITH PLAN 12/15/2004 TRANS 02/07/2005 X0202 4 2005-02-07 0 0000718789 SHUFFLE MASTER INC SHFL 0001285105 SMITH JEROME R 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 0 0 1 Senior VP and General Counsel Common Stock 2005-02-07 4 M 0 14000 5.2667 A 36278 D Common Stock 2005-02-07 4 S 0 1000 30.95 D 35278 D Common Stock 2005-02-07 4 S 0 2000 30.90 D 33278 D Common Stock 2005-02-07 4 S 0 2000 30.85 D 31278 D Common Stock 2005-02-07 4 S 0 2000 30.80 D 29278 D Common Stock 2005-02-07 4 S 0 1000 30.75 D 28278 D Common Stock 2005-02-07 4 S 0 4000 30.70 D 24278 D Common Stock 2005-02-07 4 S 0 1000 30.65 D 23278 D Common Stock 2005-02-07 4 S 0 1000 30.55 D 22278 D Stock Options 6.315 2004-03-22 2011-03-21 Common Stock 5625 5625 D Stock Options 8.0445 2003-08-22 2011-08-21 Common Stock 2 2 D Stock Options 8.0445 2004-08-22 2011-08-21 Common Stock 7500 7500 D Stock Options 5.2667 2003-09-19 2011-09-18 Common Stock 29211 29211 D Stock Options 5.2667 2005-02-07 4 M 0 14000 5.2667 D 2003-09-19 2011-09-18 Common Stock 14000 15211 D Stock Options 5.2667 2004-09-19 2011-09-18 Common Stock 29213 29213 D Stock Options 9.7378 2003-11-05 2012-11-04 Common Stock 19687 19687 D Stock Options 9.7378 2004-11-05 2012-11-04 Common Stock 19688 19688 D Stock Options 9.7378 2005-11-05 2012-11-04 Common Stock 19687 19867 D Stock Options 9.7378 2006-11-05 2012-11-14 Common Stock 19688 19688 D Stock Options 8.5378 2004-03-12 2013-03-11 Common Stock 5625 5625 D Stock Options 8.5378 2005-03-12 2013-03-11 Common Stock 5625 5625 D Stock Options 8.5378 2006-03-12 2013-03-11 Common Stock 5625 5625 D Stock Options 8.5378 2007-03-12 2013-03-11 Common Stock 5625 5625 D Stock Options 12.3333 2004-10-23 2013-10-22 Common Stock 8437 8437 D Stock Options 12.3333 2005-10-23 2013-10-22 Common Stock 8438 8438 D Stock Options 12.3333 2006-10-23 2013-10-22 Common Stock 8437 8437 D Stock Options 12.3333 2007-10-23 2013-10-22 Common Stock 8438 8438 D Stock Options 30.5600 2005-12-01 2014-12-01 Common Stock 3000 3000 D Stock Options 30.5600 2006-12-01 2014-12-01 Common Stock 3000 3000 D Stock Options 30.5600 2007-12-01 2014-12-01 Common Stock 3000 3000 D Stock Options 30.5600 2008-12-01 2014-12-01 Common Stock 3000 3000 D Stock Options 30.5600 2009-12-01 2014-12-01 Common Stock 3000 3000 D All sales are made pursuant to Stock Sales Plan, entered into pursuant to the requirement of Rule 10b5-1, adopted pursuant to the Securities Exchange Act of 1934, as amended. The common stock of the company split 3-for-2 to the shareholders of record as of January 3, 2005, resulting in the reporting person's acquisition of 7,426 additional shares of common stock. These options were previously reported as having an exercise price of $9.4725, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. These options were previously reported as having an exercise price of $12.0667, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. These options were previously reported as having an exercise price of $7.9000, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. These options were previously reported as having an exercise price of $14.6067, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. These options were previously reported as having an exercise price of $12.8067, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. These options were previously reported as having an exercise price of $18.5000, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. These options were previously reported as having an exercise price of $45.8400, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. Jerome R. Smith 2005-02-09 -----END PRIVACY-ENHANCED MESSAGE-----