0001181431-12-040223.txt : 20120709 0001181431-12-040223.hdr.sgml : 20120709 20120709191721 ACCESSION NUMBER: 0001181431-12-040223 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120706 FILED AS OF DATE: 20120709 DATE AS OF CHANGE: 20120709 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: 12954249 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 rrd350689.xml DLOPEZ T7-6-12 EXIT X0306 4 2012-07-06 1 0000718789 SHUFFLE MASTER INC SHFL 0001357624 Lopez David 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 0 0 1 Former Director, COO & EVP Common Stock 2012-07-06 4 M 0 1423 10.47 A 83781 D Common Stock 2012-07-06 4 S 0 1423 14.50 D 82358 D Stock Options 10.47 2012-07-06 4 M 0 1423 0 D 2012-03-17 2021-03-17 Common Stock 1423 0 D The Reporting Person, as of June 1, 2012, is no longer an officer or director of the Issuer. Kathryn S. Lever, by Power of Attorney 2012-07-09