SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DUNN BROOKE

(Last) (First) (Middle)
1106 PALMS AIRPORT DRIVE

(Street)
LAS VEGAS NV 89119

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SHUFFLE MASTER INC [ SHFL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Senior Vice President
3. Date of Earliest Transaction (Month/Day/Year)
02/14/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/14/2005 G V 300 D (1) 86,250(2) D
Common Stock 600(3) I Son
Common Stock 600(3) I Daughter
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options $5.2667(4) 09/19/2003 09/18/2011 Common Stock 15,000 15,000 D
Stock Options $5.2667(4) 09/19/2004 09/18/2011 Common Stock 45,001 45,001 D
Stock Options $9.7378(5) 11/05/2003 11/04/2012 Common Stock 14,062 14,062 D
Stock Options $9.7378(5) 11/05/2004 11/04/2012 Common Stock 14,063 14,063 D
Stock Options $9.7378(5) 11/05/2005 11/04/2012 Common Stock 14,062 14,062 D
Stock Options $9.7378(5) 11/05/2006 11/04/2012 Common Stock 14,063 14,063 D
Stock Options $8.5378(6) 03/12/2004 03/11/2013 Common Stock 11,250 11,250 D
Stock Options $8.5378(6) 03/12/2005 03/11/2013 Common Stock 11,250 11,250 D
Stock Options $8.5378(6) 03/12/2006 03/11/2013 Common Stock 11,250 11,250 D
Stock Options $8.5378(6) 03/12/2007 03/11/2013 Common Stock 11,250 11,250 D
Stock Options $12.3333(7) 10/23/2004 10/22/2013 Common Stock 11,250 11,250 D
Stock Options $12.3333(7) 10/23/2005 10/22/2013 Common Stock 11,250 11,250 D
Stock Options $12.3333(7) 10/23/2006 10/22/2013 Common Stock 11,250 11,250 D
Stock Options $12.3333(7) 10/23/2007 10/22/2013 Common Stock 11,251 11,251 D
Stock Options $18.7511(8) 10/31/2005 03/15/2014 Common Stock 45,000 45,000 D
Stock Options $30.56(9) 12/01/2005 12/01/2014 Common Stock 6,000 6,000 D
Stock Options $30.56(9) 12/01/2006 12/01/2014 Common Stock 6,000 6,000 D
Stock Options $30.56(9) 12/01/2007 12/01/2014 Common Stock 6,000 6,000 D
Stock Options $30.56(9) 12/01/2008 12/01/2014 Common Stock 5,999 5,999 D
Stock Options $30.56(9) 12/01/2009 12/01/2014 Common Stock 6,001 6,001 D
Explanation of Responses:
1. Gift.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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 02/17/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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