0001179110-18-001328.txt : 20180201 0001179110-18-001328.hdr.sgml : 20180201 20180201170142 ACCESSION NUMBER: 0001179110-18-001328 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180130 FILED AS OF DATE: 20180201 DATE AS OF CHANGE: 20180201 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: 18567579 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 2018-01-30 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 2018-01-30 4 M 0 4552 A 43716 D Common Stock 2018-01-30 4 D 0 4552 32.26 D 39164 D Common Stock 2000 I By Spouse Phantom Stock Unit 2018-01-30 4 M 0 4552 D Common Stock 4552 4552 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, 4,552 units vested on January 30, 2018. The remaining 4,552 phantom stock units will vest on January 30, 2019. 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 2018-02-01