-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JyU8SwIP0AaORL+LCsMBSw+v2FnbBDRmDHYmxNFd5QBSpnkWbEYE4lWIh3GbdFZi /WiPUo4fCsDyJNhBhVWUbg== 0001179110-05-013174.txt : 20050628 0001179110-05-013174.hdr.sgml : 20050628 20050628183757 ACCESSION NUMBER: 0001179110-05-013174 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050628 FILED AS OF DATE: 20050628 DATE AS OF CHANGE: 20050628 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PENN NATIONAL GAMING INC CENTRAL INDEX KEY: 0000921738 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] 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 BERSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 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: 05922316 BUSINESS ADDRESS: BUSINESS PHONE: 6103732400 MAIL ADDRESS: STREET 1: 825 BERKSHIRE BLVD STREET 2: SUITE 200 CITY: WYOMISSING STATE: PA ZIP: 19610 4 1 edgar.xml FORM 4 - X0202 4 2005-06-28 0 0000921738 PENN NATIONAL GAMING INC PENN 0001211342 CARLINO PETER M 825 BERKSHIRE BLVD SUITE 200 WYOMISSING PA 19610 1 1 1 0 Chairman and CEO Common Stock 2005-06-28 4 M 0 28494 7.95 A 1456326 D Common Stock 2005-06-28 4 M 0 75000 12.15 A 1531326 D Common Stock 2005-06-28 4 S 0 103494 35.1726 D 1427832 D Non-Qualified Stock Options (right to buy) 7.95 2005-06-28 4 M 0 28494 0 D 2004-02-06 2013-02-06 Common Stock 28494 102500 D Non-Qualified Stock Options (right to buy) 12.15 2005-06-28 4 M 0 75000 0 D 2005-01-29 2014-01-29 Common Stock 75000 225000 D The reporting person is also the indirect beneficial owner of 10,593,266 shares, which are owned by The Carlino Family Trust, a ten percent owner of the issuer, of which Peter M. Carlino is a Trustee. Peter M. Carlino is also the indirect beneficial owner of 1,212,660 shares owned by the Grantor Retained Annuity Trust of Marshia W. Carlino dated January 19, 2005 of which Peter M. Carlino is the Trustee. Peter M. Carlino disclaims beneficial ownership of the shares owned by the Carlino Family Trust and the Grantor Retained Annuity Trust, and this report should not be deemed an admission that Peter M. Carlino is the beneficial owner of such securities for the purpose of section 16 or any other purpose. All Transactions reported on this form 4 were made pursuant to a stock trading plan, dated February 28, 2005, established pursuant to rule 10b5-1. /s/Robert S Ippolito as attorney-in-fact for Peter M. Carlino 2005-06-28 -----END PRIVACY-ENHANCED MESSAGE-----