0001179110-12-018119.txt : 20121221
0001179110-12-018119.hdr.sgml : 20121221
20121221130424
ACCESSION NUMBER: 0001179110-12-018119
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121212
FILED AS OF DATE: 20121221
DATE AS OF CHANGE: 20121221
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: 121280370
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: HOTELS & MOTELS [7011]
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 -
X0306
4
2012-12-12
0
0000921738
PENN NATIONAL GAMING INC
PENN
0001211342
CARLINO PETER M
825 BERKSHIRE BLVD SUITE 200
WYOMISSING
PA
19610
1
1
0
0
Chairman & CEO
Common Stock
2012-12-12
5
G
0
E
21659
0
D
7594940
I
By Grat
Common Stock
2012-12-12
5
G
0
E
21659
0
A
7616599
I
By Trust
Common Stock
2012-12-19
5
G
0
E
190140
0
D
7426459
I
By Grat
Common Stock
2012-12-19
5
G
0
E
190140
0
A
7616599
I
By Trust
Common Stock
2012-12-19
5
G
0
E
41240
0
D
7575359
I
By Grat
Common Stock
1598781
D
On 12/12/2012, 21,659 shares were transferred to trusts for each the remainderman of the 2006 Grantor Retained Annuity Trust Peter M. Carlino dtd 05/19/2006 in trust for Peter W. Carlino, Christopher P. Carlino, Kelly E. Masano and Kathleen J. Schippers. Mr. Carlino, as the Trustee of each of the trusts for the remainderman, is deemed the indirect beneficial owner of the shares owned by the trusts for the remainderman
On 12/19/2012, 190,140 shares were transferred to trusts for each the remainderman of the 2005 Grantor Retained Annuity Trust Peter M. Carlino dtd 09/23/2005 in trust for Peter W. Carlino, Christopher P. Carlino, Kelly E. Masano and Kathleen J. Schippers. Mr. Carlino, as the Trustee of each of the trusts for the remainderman, is deemed the indirect beneficial owner of the shares owned by the trusts for the remainderman
On 12/19/2012, 41,240 shares were transferred to Peter W. Carlino, Christopher P. Carlino, Kelly E. Masano and Kathleen J. Schippers, each a remainderman of the 2005 Grantor Retained Annuity Trust Peter M. Carlino dtd 09/23/2005.
The reporting person's indirect beneficial ownership includes shares owned by the Carlino Family Trust and shares owned by The Trust for Gary Gilbert, both trusts of which Peter M. Carlino is a Trustee. The reporting person's indirect beneficial ownership also includes shares by reason of Peter M. Carlino's status as the Trustee of each of the following trusts under the 2008 Grantor Retained Annuity Trust No. 2 of Peter M. Carlino dtd 11/20/2008 and the 2008 GRAT of Marshia W. Carlino dtd 11/20/2008: (a) f/b/o Peter W. Carlino, (b) f/b/o Christopher P. Carlino (c) f/b/o Kelly E. Masano and (d) f/b/o Kathleen J. Schippers. Mr. Carlino disclaims beneficial ownership of the shares owned by all of these trusts, and this report should not be deemed an admission that Peter M. Carlino is the beneficial owner of such securities for purposes of Section 16 or any other purpose.
/s/Robert S Ippolito as attorney-in-fact for Peter M. Carlino
2012-12-21