0001181431-11-053079.txt : 20111019 0001181431-11-053079.hdr.sgml : 20111019 20111019170700 ACCESSION NUMBER: 0001181431-11-053079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111017 FILED AS OF DATE: 20111019 DATE AS OF CHANGE: 20111019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lopez David CENTRAL INDEX KEY: 0001357624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 111148573 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 1 rrd324013.xml LOPEZ FORM4 T10-17-11 BUYHOLD X0304 4 2011-10-17 0 0000718789 SHUFFLE MASTER INC SHFL 0001357624 Lopez David 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 1 0 0 1 Chief Operating Officer & EVP Common Stock 2011-10-17 4 M 0 4500 6.08 A 70938 D Stock Options 6.08 2011-10-17 4 M 0 4500 0 D 2004-11-06 2011-11-05 Common Stock 4500 0 D The exercise of the stock options is exempt under Rule 16b-6 from the operation of Section 16(b) of the Securities Exchange Act of 1934. Kathryn S. Lever, by Power of Attorney 2011-10-19