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