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