0001179110-17-002268.txt : 20170213
0001179110-17-002268.hdr.sgml : 20170213
20170213170117
ACCESSION NUMBER: 0001179110-17-002268
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170209
FILED AS OF DATE: 20170213
DATE AS OF CHANGE: 20170213
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: 17600261
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
2017-02-09
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
2017-02-09
4
M
0
4857
A
44021
D
Common Stock
2017-02-09
4
D
0
4857
14.02
D
39164
D
Common Stock
2000
I
By Spouse
Phantom Stock Unit
2017-02-09
4
M
0
4857
D
Common Stock
4857
14568
D
The recipient receives a cash payment for each phantom stock unit equal to the fair market value on the vesting date of one share of the Company's common stock. Of the original award of phantom stock units, 4,857 units vested on February 9, 2017. Of the remaining phantom stock units, 4,856 units will vest on each of February 9, 2018, February 9, 2019 and February 9, 2020.
Ms. Shattuck Kohn disclaims beneficial ownership of these 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
2017-02-13