-----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, C8gKUhDjDYvhP5UW6NVaBfnjZKF/fNGdozlRBgAM05tTj/1/qEJzN79zS/pktMw3 cc3KjITA2AH+Qv8RPHyp6g== 0001179110-05-003339.txt : 20050214 0001179110-05-003339.hdr.sgml : 20050214 20050214165440 ACCESSION NUMBER: 0001179110-05-003339 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050208 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CARLINO PETER M CENTRAL INDEX KEY: 0001211342 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24206 FILM NUMBER: 05611681 BUSINESS ADDRESS: BUSINESS PHONE: 6103732400 MAIL ADDRESS: STREET 1: 825 BERKSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 4 1 edgar.xml FORM 4 - X0202 4 2005-02-08 0 0000921738 PENN NATIONAL GAMING INC PENN 0001211342 CARLINO PETER M 825 BERKSHIRE BLVD SUITE 200 WYOMISSING PA 19610 1 1 1 0 Chairman Common Stock 2005-02-08 4 J 0 236547 0 D 5296633 I Held by Trust Common Stock 2005-02-08 5 J 0 E 27586 0 A 1320246 D Common Stock 2005-02-10 4 M 0 38000 7.69 A 1358246 D Common Stock 2005-02-10 4 M 0 62000 4.06 A 1420246 D Common Stock 2005-02-10 4 S 0 100000 65.9123 D 1320246 D Non-Qualified Stock Options(right to buy) 7.69 2005-02-10 4 M 0 38000 0 D 1998-04-15 2007-04-15 Common Stock 38000 0 D Non-Qualified Stock Options 4.06 2005-02-10 4 M 0 62000 0 D 2001-02-08 2010-02-08 Common Stock 62000 56000 D Shares are owned by the Carlino Family Trust, a ten percent owner of the issuer and indirectly owned by Peter M. Carlino, Harold Cramer, Peter D. Carlino, Richard J. Carlino and David E. Carlino, the trustees of the Carlino Family Trust. The Carlino Family Trust distributed 236,547 shares to the beneficiaries of the trust. Peter M. Carlino is a trustee of the Carlino Family Trust and an officer and director of the issuer and is reporting this transaction on behalf of the Carlino Family Trust Shares Acquired by Peter M. Carlino as a beneficiary of the Carlino Family Trust. The transaction effects only a change in the form of beneficial ownership without changing the reporting person's pecumiary interest in the securities. The reporting person is also the indirect beneficial owner of 5,296,633 shares, which are owned by the Carlino Family Trust, a ten percent owner of the issuer. Peter M. Carlino is a Trustee of the Trust. Peter M. Carlino disclaims beneficial ownership of the shares owned by the Carlino Family Trust, and this report should not be deemed an admission that Peter M. Carlino is the beneficial owner of such securities for the purpose of section 16 or any other purpose. /s/Robert S Ippolito as attorney-in-fact for Peter M. Carlino 2005-02-14 -----END PRIVACY-ENHANCED MESSAGE-----