-----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, FAsCdIJu6RJMercDOnkfFbFkka7uFuoTS0DIdIFvM/DH0tWAHh0JY8gdKgaBfenx ubaFSBveMYVlw5C2bQjolw== 0001181431-05-010880.txt : 20050217 0001181431-05-010880.hdr.sgml : 20050217 20050217124755 ACCESSION NUMBER: 0001181431-05-010880 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050214 FILED AS OF DATE: 20050217 DATE AS OF CHANGE: 20050217 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: 05623315 MAIL ADDRESS: STREET 1: C/O SHUFFLE MASTER, INC. STREET 2: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119 4 1 rrd69273.xml UNLV CONTRIBUTION X0202 4 2005-02-14 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 2005-02-14 5 G 0 300 D 86250 D Common Stock 600 I Son Common Stock 600 I Daughter Stock Options 5.2667 2003-09-19 2011-09-18 Common Stock 15000 15000 D Stock Options 5.2667 2004-09-19 2011-09-18 Common Stock 45001 45001 D Stock Options 9.7378 2003-11-05 2012-11-04 Common Stock 14062 14062 D Stock Options 9.7378 2004-11-05 2012-11-04 Common Stock 14063 14063 D Stock Options 9.7378 2005-11-05 2012-11-04 Common Stock 14062 14062 D Stock Options 9.7378 2006-11-05 2012-11-04 Common Stock 14063 14063 D Stock Options 8.5378 2004-03-12 2013-03-11 Common Stock 11250 11250 D Stock Options 8.5378 2005-03-12 2013-03-11 Common Stock 11250 11250 D Stock Options 8.5378 2006-03-12 2013-03-11 Common Stock 11250 11250 D Stock Options 8.5378 2007-03-12 2013-03-11 Common Stock 11250 11250 D Stock Options 12.3333 2004-10-23 2013-10-22 Common Stock 11250 11250 D Stock Options 12.3333 2005-10-23 2013-10-22 Common Stock 11250 11250 D Stock Options 12.3333 2006-10-23 2013-10-22 Common Stock 11250 11250 D Stock Options 12.3333 2007-10-23 2013-10-22 Common Stock 11251 11251 D Stock Options 18.7511 2005-10-31 2014-03-15 Common Stock 45000 45000 D Stock Options 30.5600 2005-12-01 2014-12-01 Common Stock 6000 6000 D Stock Options 30.5600 2006-12-01 2014-12-01 Common Stock 6000 6000 D Stock Options 30.5600 2007-12-01 2014-12-01 Common Stock 6000 6000 D Stock Options 30.5600 2008-12-01 2014-12-01 Common Stock 5999 5999 D Stock Options 30.5600 2009-12-01 2014-12-01 Common Stock 6001 6001 D Gift. 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 28,850 additional shares of common stock. 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 200 additional shares of common stock. 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 $28.1267, 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, by Power of Attorney 2005-02-17 -----END PRIVACY-ENHANCED MESSAGE-----