0001179110-17-004645.txt : 20170315 0001179110-17-004645.hdr.sgml : 20170315 20170315173118 ACCESSION NUMBER: 0001179110-17-004645 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170313 FILED AS OF DATE: 20170315 DATE AS OF CHANGE: 20170315 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: JACQUEMIN JOHN M CENTRAL INDEX KEY: 0001218091 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24206 FILM NUMBER: 17692237 MAIL ADDRESS: STREET 1: 825 BERKSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 4 1 edgar.xml FORM 4 - X0306 4 2017-03-13 0 0000921738 PENN NATIONAL GAMING INC PENN 0001218091 JACQUEMIN JOHN M 825 BERKSHIRE BLVD SUITE 200 WYOMISSING PA 19610 1 0 0 0 Common Stock 2017-03-13 4 M 0 4362 A 137957 D Common Stock 2017-03-13 4 D 0 4362 14.94 D 133595 D Phantom Stock Unit 2017-03-13 4 M 0 4362 D Common Stock 4362 4361 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, 4,362 units vested on March 13, 2017. The remaining 4,361 phantom stock units will vest on March 13, 2018. /s/ Christopher Rogers as attorney-in-fact for John M Jacquemin 2017-03-15