0001019687-11-003917.txt : 20111222 0001019687-11-003917.hdr.sgml : 20111222 20111222200023 ACCESSION NUMBER: 0001019687-11-003917 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111220 FILED AS OF DATE: 20111222 DATE AS OF CHANGE: 20111222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Khuchua Vladimir CENTRAL INDEX KEY: 0001512380 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11460 FILM NUMBER: 111278773 MAIL ADDRESS: STREET 1: 5966 LA PLACE COURT, STE. 100 CITY: CARLSBAD STATE: CA ZIP: 92008 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NTN BUZZTIME INC CENTRAL INDEX KEY: 0000748592 STANDARD INDUSTRIAL CLASSIFICATION: TELEVISION BROADCASTING STATIONS [4833] IRS NUMBER: 311103425 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2231 RUTHERFORD ROAD CITY: CARLSBAD STATE: CA ZIP: 92008 BUSINESS PHONE: 7604387400 MAIL ADDRESS: STREET 1: 2231 RUTHERFORD ROAD CITY: CARLSBAD STATE: CA ZIP: 92008 FORMER COMPANY: FORMER CONFORMED NAME: NTN COMMUNICATIONS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ALROY INDUSTRIES INC DATE OF NAME CHANGE: 19850411 4 1 edgar.xml PRIMARY DOCUMENT X0304 4 2011-12-20 0000748592 NTN BUZZTIME INC NTN 0001512380 Khuchua Vladimir 2231 RUTHERFORD ROAD CARLSBAD, CA 92008 0 1 0 0 EVP and Chief Content Officer Common Stock 2011-09-20 4 P 0 5000 .37 A 15000 D /s/ Kendra Berger by Power of Attorney 2011-12-22