-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, N+FK6RIQ6hIpMChLAm/RMks4Y4Ujet3wV1xvf8hchK/N/pjVyK59Ky+IkrJnm6mS n5AE8pTCVAOffuYZL+quvg== 0001179110-05-000484.txt : 20050105 0001179110-05-000484.hdr.sgml : 20050105 20050105141557 ACCESSION NUMBER: 0001179110-05-000484 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050103 FILED AS OF DATE: 20050105 DATE AS OF CHANGE: 20050105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACQUEMIN JOHN M CENTRAL INDEX KEY: 0001218091 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24206 FILM NUMBER: 05511823 BUSINESS ADDRESS: BUSINESS PHONE: 6103732400 MAIL ADDRESS: STREET 1: 825 BERKSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PENN NATIONAL GAMING INC CENTRAL INDEX KEY: 0000921738 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 232234473 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 825 BERKSHIRE BLVD STE 200 STREET 2: WYOMISSING PROFESSIONAL CENTER CITY: WYOMISSING STATE: PA ZIP: 19610 BUSINESS PHONE: 6103732400 MAIL ADDRESS: STREET 1: 825 BERSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 4 1 edgar.xml FORM 4 - X0202 4 2005-01-03 0 0000921738 PENN NATIONAL GAMING INC PENN 0001218091 JACQUEMIN JOHN M 825 BERKSHIRE BLVD SUITE 200 WYOMISSING PA 19610 1 0 0 0 Common Stock 2005-01-03 4 M 0 7500 5.16 A 7500 D Common Stock 2005-01-03 4 S 0 7500 59.99 D 0 D Non Qualified Stock Options (right to buy) 5.16 2005-01-03 4 M 0 7500 0 D 2002-01-02 2008-01-02 Common Stock 7500 0 D All transactions on this form 4 were made pursuant to a stock trading plan, dated November 30, 2004, established pursuant to rule 10b5-1. /s/Robert S. Ippolito as attorney-in-fact for John M Jacquemin 2005-01-05 -----END PRIVACY-ENHANCED MESSAGE-----