0001019687-13-001284.txt : 20130411
0001019687-13-001284.hdr.sgml : 20130411
20130411145648
ACCESSION NUMBER: 0001019687-13-001284
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130408
FILED AS OF DATE: 20130411
DATE AS OF CHANGE: 20130411
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khuchua Vladimir
CENTRAL INDEX KEY: 0001512380
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11460
FILM NUMBER: 13756022
MAIL ADDRESS:
STREET 1: 5966 LA PLACE COURT, STE. 100
CITY: CARLSBAD
STATE: CA
ZIP: 92008
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NTN BUZZTIME INC
CENTRAL INDEX KEY: 0000748592
STANDARD INDUSTRIAL CLASSIFICATION: TELEVISION BROADCASTING STATIONS [4833]
IRS NUMBER: 311103425
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2231 RUTHERFORD ROAD
CITY: CARLSBAD
STATE: CA
ZIP: 92008
BUSINESS PHONE: 7604387400
MAIL ADDRESS:
STREET 1: 2231 RUTHERFORD ROAD
CITY: CARLSBAD
STATE: CA
ZIP: 92008
FORMER COMPANY:
FORMER CONFORMED NAME: NTN COMMUNICATIONS INC
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: ALROY INDUSTRIES INC
DATE OF NAME CHANGE: 19850411
4
1
ntn_f4-khuchua.xml
OWNERSHIP DOCUMENT
X0306
4
2013-04-08
0
0000748592
NTN BUZZTIME INC
NTN
0001512380
Khuchua Vladimir
2231 RUTHERFORD ROAD
STE. 200
CARLSBAD
CA
92008
0
1
0
0
Chief Product Officer
Stock Options (Right to Buy)
0.24
2013-04-08
4
A
0
100000
0
A
2014-04-08
2023-04-07
Common Stock
100000
275000
D
Stock option granted under the NTN Buzztime, Inc. 2010 Performance Incentive Plan. The stock option shall vest and become exercisable at the rate of 25% of the shares underlying the option on the first anniversary of the option grant date and the remaining 75% of the total number of shares of common stock shall become vestedand exercisable in a series of 36 substantially equal monthly installments thereafter.
/s/ Kendra Berger by Power of Attorney
2013-04-10