0001181431-12-003232.txt : 20120119 0001181431-12-003232.hdr.sgml : 20120119 20120119200024 ACCESSION NUMBER: 0001181431-12-003232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120117 FILED AS OF DATE: 20120119 DATE AS OF CHANGE: 20120119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Castle Louis CENTRAL INDEX KEY: 0001320817 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 12535679 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 rrd330929.xml CASTLE FORM4 T1-17-12 X0304 4 2012-01-17 0 0000718789 SHUFFLE MASTER INC SHFL 0001320817 Castle Louis 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 0 0 1 Chief Strategy Officer Restricted Stock Units 2012-01-17 4 A 0 11930 0 A 62479 D Stock Options 12.54 2012-01-17 4 A 0 5807 0 A 2013-01-17 2022-01-17 Common Stock 5807 5807 D Stock Options 12.54 2012-01-17 4 A 0 5808 0 A 2014-01-17 2022-01-17 Common Stock 5808 5808 D Stock Options 12.54 2012-01-17 4 A 0 5807 0 A 2015-01-17 2022-01-17 Common Stock 5807 5807 D Stock Options 12.54 2012-01-17 4 A 0 5808 0 A 2016-01-17 2022-01-17 Common Stock 5808 5808 D Each unit represents a right to convert into one share of common stock upon satisfaction of contingencies. As previously reported on a Form 4A filed August 30, 2011, 4,776 shares of restricted stock held by the Reporting Person would vest on March 17, 2012 contingent on the Reporting Person continuing to serve as a member of the Board of Directors through such date. The Reporting Person is no longer serving as a member of the Board of Directors and therefore such 4,776 shares of restricted stock have been forfeited to the Company and are no longer included in the sum of column 5. Kathryn S. Lever, by Power of Attorney 2012-01-19