0001181431-12-018182.txt : 20120316 0001181431-12-018182.hdr.sgml : 20120316 20120316211149 ACCESSION NUMBER: 0001181431-12-018182 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120315 FILED AS OF DATE: 20120316 DATE AS OF CHANGE: 20120316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thoman A. Randall CENTRAL INDEX KEY: 0001498492 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 12699026 MAIL ADDRESS: STREET 1: 5241 SPRING MOUNTAIN ROAD CITY: LAS VEGAS STATE: NV ZIP: 89150 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 rrd339006.xml THOMAN FORM4 T3-15-12 X0304 4 2012-03-15 0 0000718789 SHUFFLE MASTER INC SHFL 0001498492 Thoman A. Randall 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 1 0 0 0 Common Stock 2012-03-15 4 A 0 5804 0 A 15535 D Kathryn S. Lever, by Power of Attorney 2012-03-16