0001209191-21-002522.txt : 20210107 0001209191-21-002522.hdr.sgml : 20210107 20210107165356 ACCESSION NUMBER: 0001209191-21-002522 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210105 FILED AS OF DATE: 20210107 DATE AS OF CHANGE: 20210107 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: 21514765 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 doc4.xml FORM 4 SUBMISSION X0306 4 2021-01-05 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 2021-01-05 4 A 0 3091 0.00 A 48608 D Common Stock 1750 I By Spouse The securities reported are shares of restricted stock that vest on January 5, 2022. The reporting person elected to receive the 2021 annual equity award for directors in shares of restricted stock. 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/ Elliot D. Hoops, Attorney-In-Fact for Barbara Shattuck Kohn 2021-01-07