0001179110-18-000692.txt : 20180108 0001179110-18-000692.hdr.sgml : 20180108 20180108172004 ACCESSION NUMBER: 0001179110-18-000692 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180104 FILED AS OF DATE: 20180108 DATE AS OF CHANGE: 20180108 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: 18517234 MAIL ADDRESS: STREET 1: 825 BERKSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 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 4 1 edgar.xml FORM 4 - X0306 4 2018-01-04 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 2018-01-04 4 M 0 4433 A 138028 D Common Stock 2018-01-04 4 D 0 4433 30.33 D 133595 D Phantom Stock Units 2018-01-04 4 M 0 4433 A Common Stock 4433 13297 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, 4,433 units vested on January 4, 2018. The remaining phantom stock units are scheduled to vest as follows: 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 John M Jacquemin 2018-01-08