0001179110-13-003259.txt : 20130221 0001179110-13-003259.hdr.sgml : 20130221 20130221162803 ACCESSION NUMBER: 0001179110-13-003259 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130219 FILED AS OF DATE: 20130221 DATE AS OF CHANGE: 20130221 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: 13630746 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 2013-02-19 0 0000921738 PENN NATIONAL GAMING INC PENN 0001218091 JACQUEMIN JOHN M 825 BERKSHIRE BLVD SUITE 200 WYOMISSING PA 19610 1 0 0 0 Phantom Stock Unit 2013-02-19 4 A 0 5091 0 A Common Stock 5091 5091 D Upon vesting, the recipient is entitled to a cash payment for each unit equal to the fair market value on the vesting date of one share of the Company's common stock. The Phantom Stock Unit is scheduled to vest as follows: 1,273 units on February 19, 2014; 1,273 units on February 19, 2015; 1,273 units on February 19, 2016 and 1,272 units on February 19, 2017. /s/Robert S. Ippolito as attorney-in-fact for John M Jacquemin 2013-02-21