-----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, NxVYsrLINtk48mUGcgSHgE9u0U9oOX8eVclAdwmUINc5dPmBXpsRuEaMQD5B0gbr 0hBuKpM3NEP3w9663uVojg== 0001181431-05-037352.txt : 20050629 0001181431-05-037352.hdr.sgml : 20050629 20050629165152 ACCESSION NUMBER: 0001181431-05-037352 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050627 FILED AS OF DATE: 20050629 DATE AS OF CHANGE: 20050629 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: SMITH JEROME R CENTRAL INDEX KEY: 0001285105 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 05925410 MAIL ADDRESS: STREET 1: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119 4 1 rrd84125.xml 6/27/05 GRANT X0202 4 2005-06-27 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 Stock Options 2005-06-27 4 A 0 5000 28.06 A 40405 D Common Stock 28.06 2005-06-27 4 A 0 12000 28.06 A 2010-06-27 2015-06-26 Common Stock 12000 12000 D Jerome R. Smith 2005-06-29 -----END PRIVACY-ENHANCED MESSAGE-----