0001179110-16-033591.txt : 20161229 0001179110-16-033591.hdr.sgml : 20161229 20161229201826 ACCESSION NUMBER: 0001179110-16-033591 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161227 FILED AS OF DATE: 20161229 DATE AS OF CHANGE: 20161229 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 BERKSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHATTUCK KOHN BARBARA CENTRAL INDEX KEY: 0001013803 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24206 FILM NUMBER: 162076184 MAIL ADDRESS: STREET 1: PENN NATIONAL GAMING, INC STREET 2: 825 BERKSHIRE BLVE, SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 FORMER NAME: FORMER CONFORMED NAME: SHATTUCK BARBARA Z DATE OF NAME CHANGE: 19960508 4 1 edgar.xml FORM 4 - X0306 4 2016-12-27 0 0000921738 PENN NATIONAL GAMING INC PENN 0001013803 SHATTUCK KOHN BARBARA 825 BERKSHIRE BLVD SUITE 200 WYOMISSING PA 19610 1 0 0 0 Common Stock 2016-12-27 5 G 0 E 7098 0 D 39164 D Common Stock 2000 I By Spouse Ms. Shattuck Kohn disclaims beneficial ownership of the shares owned by her spouse, and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or any other purpose. /s/ Christopher Rogers as attorney-in-fact for Barbara Shattuck Kohn 2016-12-29