0001181431-11-057430.txt : 20111122 0001181431-11-057430.hdr.sgml : 20111122 20111122184121 ACCESSION NUMBER: 0001181431-11-057430 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111117 FILED AS OF DATE: 20111122 DATE AS OF CHANGE: 20111122 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: 111223040 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 rrd326441.xml LOPEZ GIFT F11-22-11 X0304 4 2011-11-17 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 2011-11-17 4 G 0 2500 0 D 68438 D Kathryn S. Lever, by Power of Attorney 2011-11-22