0001209191-21-000941.txt : 20210105
0001209191-21-000941.hdr.sgml : 20210105
20210105160610
ACCESSION NUMBER: 0001209191-21-000941
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210103
FILED AS OF DATE: 20210105
DATE AS OF CHANGE: 20210105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CARLINO PETER M
CENTRAL INDEX KEY: 0001211342
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24206
FILM NUMBER: 21505437
MAIL ADDRESS:
STREET 1: 845 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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-03
0
0000921738
PENN NATIONAL GAMING INC
PENN
0001211342
CARLINO PETER M
825 BERKSHIRE BLVD., SUITE 200
WYOMISSING
PA
19610
0
0
0
1
Chairman Emeritus
Common Stock
2021-01-03
4
M
0
3050
A
732885
D
Common Stock
2021-01-03
4
D
0
3050
86.37
D
729835
D
Common Stock
2021-01-03
4
M
0
6427
A
736262
D
Common Stock
2021-01-03
4
D
0
6427
86.37
D
729835
D
Common Stock
2021-01-04
4
M
0
6648
A
736483
D
Common Stock
2021-01-04
4
D
0
6648
86.37
D
729835
D
Common Stock
4520481
I
By Trusts
Phantom Stock Units
2021-01-03
4
M
0
3050
D
2021-01-03
2021-01-03
Common Stock
3050
3049
D
Phantom Stock Units
2021-01-03
4
M
0
6427
D
2021-01-03
2021-01-03
Common Stock
6427
6426
D
Phantom Stock Units
2021-01-04
4
M
0
6648
D
2021-01-04
2021-01-04
Common Stock
6648
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.
Includes 365,212 shares owned by a residuary trust for the benefit of Peter D. Carlino and Peter D. Carlino's children. The reporting person is a trustee of the residuary trust with shared voting and investment power. The reporting person disclaims beneficial ownership of the shares owned by the residuary trust, except to the extent to of his pecuniary interest therein, and this report should not be deemed an admission the reporting person is the beneficial owner of such securities for purposes of Section 16 or any other purpose.
Includes 4,155,269 shares held by the Carlino Family Trust. The reporting person is a trustee of the trust with shared voting and investment power. The reporting person disclaims beneficial ownership of the shares owned by the trust, except to the extent of his pecuniary interest therein, 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/ Elliot D. Hoops, Attorney-In-Fact for Peter M. Carlino
2021-01-05