0001209191-21-001086.txt : 20210105
0001209191-21-001086.hdr.sgml : 20210105
20210105163208
ACCESSION NUMBER: 0001209191-21-001086
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: JACQUEMIN JOHN M
CENTRAL INDEX KEY: 0001218091
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-24206
FILM NUMBER: 21506105
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-03
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
2021-01-03
4
M
0
2033
A
160723
D
Common Stock
2021-01-03
4
D
0
2033
86.37
D
158690
D
Common Stock
2021-01-04
4
M
0
4432
A
163122
D
Common Stock
2021-01-04
4
D
0
4432
86.37
D
158690
D
Phantom Stock Units
2021-01-03
4
M
0
2033
D
2021-01-03
2021-01-03
Common Stock
2033
2033
D
Phantom Stock Units
2021-01-04
4
M
0
4432
D
2021-01-04
2021-01-04
Common Stock
4432
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 D. Hoops, Attorney-In-Fact for John M. Jacquemin
2021-01-05