-----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, OLm0172OglcuJ5M2wlLc7H8UHWc3EbZdUq2TjnO+DFiwaCX7UJcQv8KgpvruDf3f z6Ky0tUl+wsd5ei0GBfnRg== 0001181431-05-037354.txt : 20050629 0001181431-05-037354.hdr.sgml : 20050629 20050629165209 ACCESSION NUMBER: 0001181431-05-037354 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: Baldwin Richard Louis CENTRAL INDEX KEY: 0001303708 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 05925412 BUSINESS ADDRESS: BUSINESS PHONE: 702-897-7150 MAIL ADDRESS: STREET 1: 1106 PALMS AIRPORT DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89119 FORMER NAME: FORMER CONFORMED NAME: Baldwin Richard Lewis DATE OF NAME CHANGE: 20040920 4 1 rrd84124.xml 6/27/05 GRANT X0202 4 2005-06-27 0 0000718789 SHUFFLE MASTER INC SHFL 0001303708 Baldwin Richard Louis 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 1 0 0 Chief Financial Officer Common Stock 2005-06-27 4 A 0 5000 28.06 A 5990 D Stock Options 28.06 2005-06-27 4 A 0 42500 28.06 A 2010-06-27 2015-06-26 Common Stock 42500 42500 D These shares were previously reported as 660, but were adjusted to reflect the split to shareholders of record as of January 3, 2005. Jerome R. Smith, by Power of Attorney 2005-06-29 -----END PRIVACY-ENHANCED MESSAGE-----