0001181431-12-002605.txt : 20120113
0001181431-12-002605.hdr.sgml : 20120113
20120113204142
ACCESSION NUMBER: 0001181431-12-002605
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120112
FILED AS OF DATE: 20120113
DATE AS OF CHANGE: 20120113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vukanovich Kim
CENTRAL INDEX KEY: 0001494805
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20820
FILM NUMBER: 12527905
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
rrd330663.xml
FORM4 KVMIRAMONTES T1-12-12
X0304
4
2012-01-12
1
0000718789
SHUFFLE MASTER INC
SHFL
0001494805
Vukanovich Kim
1106 PALMS AIRPORT DRIVE
LAS VEGAS
NV
89119
0
0
0
1
SVP Operation & Administration
Common Stock
2012-01-12
4
M
0
2500
4.3000
A
26748
D
Common Stock
2012-01-12
4
M
0
4250
7.3200
A
30998
D
Common Stock
2012-01-12
4
S
0
2500
12.3400
D
28498
D
Common Stock
2012-01-12
4
S
0
4250
12.3400
D
24248
D
Stock Options
4.3000
2012-01-12
4
M
0
2500
0
D
2011-12-15
2018-12-15
Common Stock
2500
0
D
Stock Options
7.3200
2012-01-12
4
M
0
4250
0
D
2011-12-14
2019-12-14
Common Stock
4250
0
D
The Reporting Person, who remains employed by the Issuer, has ceased to be a Reporting Person pursuant to Section 16 as of December 19, 2011.
Kathryn S. Lever, by Power of Attorney
2012-01-13