-----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, FhHNdytGueptObc/uZKHWQdPetM8JzTBSQBH0VE7u5DdPyw7DvIWHKLZq/EmWsow 4K7rVR/B4G4Zu+uzOBnbNw== 0001181431-08-068224.txt : 20081218 0001181431-08-068224.hdr.sgml : 20081218 20081218171807 ACCESSION NUMBER: 0001181431-08-068224 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081215 FILED AS OF DATE: 20081218 DATE AS OF CHANGE: 20081218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH JEROME R CENTRAL INDEX KEY: 0001285105 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 081258054 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/A 1 rrd226964.xml SMITH FORM4A 12-15-08 FILED 12-18-08 X0303 4/A 2008-12-15 2008-12-17 0 0000718789 SHUFFLE MASTER INC SHFL 0001285105 SMITH JEROME R 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 1 0 0 ExecVP & General Counsel & Sec Common Stock 2008-12-15 4 A 0 15000 0 D 94339 D Stock Options 4.30 2008-12-15 4 A 0 5000 0 A 2009-12-15 2018-12-15 Common Stock 5000 5000 D Stock Options 4.30 2008-12-15 4 A 0 5000 0 A 2010-12-15 2018-12-15 Common Stock 5000 5000 D Stock Options 4.30 2008-12-15 4 A 0 5000 0 A 2011-12-15 2018-12-15 Common Stock 5000 5000 D Stock Options 4.30 2008-12-15 4 A 0 5000 0 A 2012-12-15 2018-12-15 Common Stock 5000 5000 D This Form 4 amends Table I, column 5 which incorrectly stated the Amount of Securities Beneficially Owened Following Reported Transaction was 93,474. The Amount inadvertantly omitted 865 shares which Mr. Smith's pension fund acquired in 2001 but which now correctly states the Amount as 94,339. Jerome R. Smith 2008-12-18 -----END PRIVACY-ENHANCED MESSAGE-----