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