0001179110-20-001463.txt : 20200211 0001179110-20-001463.hdr.sgml : 20200211 20200211180547 ACCESSION NUMBER: 0001179110-20-001463 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200209 FILED AS OF DATE: 20200211 DATE AS OF CHANGE: 20200211 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: 20598475 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 2020-02-09 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 2020-02-09 4 M 0 4856 A 163546 D Common Stock 2020-02-09 4 D 0 4856 34.32 D 158690 D Phantom Stock Unit 2020-02-09 4 M 0 4856 D Common Stock 4856 0 D The reporting person 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. /s/ Elliot Hoops as attorney-in-fact for John M Jacquemin 2020-02-11