0001140361-11-027761.txt : 20110516
0001140361-11-027761.hdr.sgml : 20110516
20110516160525
ACCESSION NUMBER: 0001140361-11-027761
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110512
FILED AS OF DATE: 20110516
DATE AS OF CHANGE: 20110516
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roberson Mark Daniel
CENTRAL INDEX KEY: 0001415593
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51572
FILM NUMBER: 11846784
MAIL ADDRESS:
STREET 1: 1020 CREWS ROAD
STREET 2: SUITE J
CITY: MATTHEWS
STATE: NC
ZIP: 28106
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: POKERTEK, INC.
CENTRAL INDEX KEY: 0001302177
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990]
IRS NUMBER: 611455265
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1150 CREWS ROAD
STREET 2: SUITE F
CITY: MATTHEWS
STATE: NC
ZIP: 28105
BUSINESS PHONE: 7048490860
MAIL ADDRESS:
STREET 1: 1150 CREWS ROAD
STREET 2: SUITE F
CITY: MATTHEWS
STATE: NC
ZIP: 28105
FORMER COMPANY:
FORMER CONFORMED NAME: POKERTEK INC
DATE OF NAME CHANGE: 20040901
4
1
doc1.xml
FORM 4
X0303
4
2011-05-12
0
0001302177
POKERTEK, INC.
PTEK
0001415593
Roberson Mark Daniel
1150 CREWS ROAD, SUITE F
MATTHEWS
NC
28105
0
1
0
0
CEO & CFO
Common Stock
2011-05-12
4
P
0
25735
1.36
A
57335
D
/s/ Mark D. Roberson
2011-05-16