0001181431-11-027694.txt : 20110506 0001181431-11-027694.hdr.sgml : 20110506 20110506123125 ACCESSION NUMBER: 0001181431-11-027694 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110505 FILED AS OF DATE: 20110506 DATE AS OF CHANGE: 20110506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEVER KATHRYN S CENTRAL INDEX KEY: 0001338566 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 11818037 MAIL ADDRESS: STREET 1: 3525 E POST ROAD CITY: LAS VEGAS STATE: NV ZIP: 89120 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 1 rrd310675.xml LEVER FORM3 T5-5-11 X0303 4 2011-05-05 0 0000718789 SHUFFLE MASTER INC SHFL 0001338566 LEVER KATHRYN S 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 0 0 1 General Counsel & EVP Restricted Stock Units 2011-05-05 4 A 0 12060 0 A 12060 D Stock Options 10.78 2011-05-05 4 A 0 5856 0 A 2012-05-05 2021-05-05 Common Stock 5856 5856 D Stock Options 10.78 2011-05-05 4 A 0 5856 0 A 2013-05-05 2021-05-05 Common Stock 5856 5856 D Stock Options 10.78 2011-05-05 4 A 0 5856 0 A 2014-05-05 2021-05-05 Common Stock 5856 5856 D Stock Options 10.78 2011-05-05 4 A 0 5856 0 A 2015-05-05 2021-05-05 Common Stock 5856 5856 D Each unit represents a right to convert into one share of common stock upon satisfaction of contingencies. Dawn R. Hinman, by Power of Attorney 2011-05-06