0001179110-21-005983.txt : 20210526
0001179110-21-005983.hdr.sgml : 20210526
20210526172520
ACCESSION NUMBER: 0001179110-21-005983
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210514
FILED AS OF DATE: 20210526
DATE AS OF CHANGE: 20210526
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gilbert Randy
CENTRAL INDEX KEY: 0001686711
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32987
FILM NUMBER: 21967524
MAIL ADDRESS:
STREET 1: 2415 ANNAPOLIS LANE
STREET 2: SUITE 100
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TABLE TRAC INC
CENTRAL INDEX KEY: 0001090396
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990]
IRS NUMBER: 880365568
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: BAKER TECHNOLOGY PLAZA SOUTH
STREET 2: 6101 BAKER ROAD ? SUITE 206
CITY: MINNETONKA
STATE: MN
ZIP: 55345
BUSINESS PHONE: 952-548-8877
MAIL ADDRESS:
STREET 1: BAKER TECHNOLOGY PLAZA SOUTH
STREET 2: 6101 BAKER ROAD ? SUITE 206
CITY: MINNETONKA
STATE: MN
ZIP: 55345
4
1
edgar.xml
FORM 4 -
X0306
4
2021-05-14
0
0001090396
TABLE TRAC INC
TBTC
0001686711
Gilbert Randy
TABLE TRAC, INC.
6101 BAKER ROAD, SUITE 206
MINNETONKA
MN
55345
0
1
0
0
Chief Financial Officer
Common Stock
55225
D
Stock Options (right to buy)
2.42
2021-05-14
4
A
0
30000
0
A
2021-05-14
2031-05-14
Common Stock
30000
30000
D
Includes 10,000 shares of restricted stock, which restrictions lapse on 1/8/2022.
/s/ Randy Gilbert
2021-05-25