0001181431-12-018477.txt : 20120319 0001181431-12-018477.hdr.sgml : 20120319 20120319195746 ACCESSION NUMBER: 0001181431-12-018477 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120316 FILED AS OF DATE: 20120319 DATE AS OF CHANGE: 20120319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vukanovich Kim CENTRAL INDEX KEY: 0001494805 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20820 FILM NUMBER: 12701918 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 rrd339097.xml KIMM FORM4 T3-16-12 X0304 4 2012-03-16 0 0000718789 SHUFFLE MASTER INC SHFL 0001494805 Vukanovich Kim 1106 PALMS AIRPORT DRIVE LAS VEGAS NV 89119 0 0 0 1 SVP Operation & Administration Common Stock 2012-03-16 4 M 0 3800 11.51 A 33133 D Common Stock 2012-03-16 4 M 0 15000 12.21 A 48133 D Common Stock 2012-03-16 4 S 0 15000 17.68 D 33133 D Common Stock 2012-03-16 4 S 0 3800 17.68 D 29333 D The Reporting Person, who remains employed by the Issuer, has ceased to be a Reporting Person pursuant to Section 16 as of December 19, 2011. Kathryn S. Lever, by Power of Attorney 2012-03-19