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