0001179110-17-000691.txt : 20170106
0001179110-17-000691.hdr.sgml : 20170106
20170106171707
ACCESSION NUMBER: 0001179110-17-000691
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170104
FILED AS OF DATE: 20170106
DATE AS OF CHANGE: 20170106
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: 17515076
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
2017-01-04
0
0000921738
PENN NATIONAL GAMING INC
PENN
0001013803
SHATTUCK KOHN BARBARA
825 BERKSHIRE BLVD SUITE 200
WYOMISSING
PA
19610
1
0
0
0
Phantom Stock Units
2017-01-04
4
A
0
17730
0
A
Common Stock
17730
17730
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 units are scheduled to vest as follows: 4,433 units on January 4, 2018; 4,433 units on January 4, 2019; 4,432 units on January 4, 2020; and 4,432 units on January 4, 2021.
/s/ Christopher Rogers as attorney-in-fact for Barbara Shattuck Kohn
2017-01-06