0001179110-18-000693.txt : 20180108
0001179110-18-000693.hdr.sgml : 20180108
20180108172021
ACCESSION NUMBER: 0001179110-18-000693
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: SHATTUCK KOHN BARBARA
CENTRAL INDEX KEY: 0001013803
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24206
FILM NUMBER: 18517237
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
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
0001013803
SHATTUCK KOHN BARBARA
825 BERKSHIRE BLVD SUITE 200
WYOMISSING
PA
19610
1
0
0
0
Common Stock
2018-01-04
4
M
0
4433
A
43597
D
Common Stock
2018-01-04
4
D
0
4433
30.33
D
39164
D
Common Stock
2000
I
By Spouse
Phantom Stock Units
2018-01-04
4
A
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.
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
2018-01-08