0001140361-12-052772.txt : 20121227
0001140361-12-052772.hdr.sgml : 20121227
20121227113210
ACCESSION NUMBER: 0001140361-12-052772
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121226
FILED AS OF DATE: 20121227
DATE AS OF CHANGE: 20121227
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: 121286697
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
X0306
4
2012-12-26
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
2012-12-26
4
P
0
4000
1.08
A
243365
D
/s/ Mark D. Roberson
2012-12-27