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