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