FORM 4 o Check this box
if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
|
OMB APPROVAL |
OMB
Number: 3235-0287 |
1. Name and Address of Reporting Person *
(Last)
(First) (Middle)
(Street)
(City)
(State) (Zip)
|
2. Issuer Name and Ticker Penn National Gaming, Inc. PENN 3. I.R.S.
Identification |
4. Statement for 04/23/2003
|
(Check
all applicable) X Director
X Officer (give title below)
X 10% Owner
Other (specify below) Chairman
|
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security |
2. Transaction Date
(Month/Day/ |
2A. Deemed Execution Date,
if any (Month/Day/ |
3. Transaction Code |
4. Securities Acquired (A)
or Disposed of (D) |
5. Amount of Securities
Beneficially Owned Following Reported Transaction(s) |
6. Ownership Form: Direct
(D) or Indirect (I) |
7. Nature of Indirect
Beneficial Ownership |
|||
Code |
V |
Amount |
(A) or (D) |
Price |
||||||
Common Stock |
04/23/03 |
|
J |
|
264,171 |
D |
|
5,782,177 |
D |
Held by Carlino Family Trust(1) |
Common Stock |
04/23/03 |
|
J (2) |
|
30,566 |
A |
|
|
|
|
Common Stock |
04/23/03 |
|
G (3) |
|
1,000 |
D |
|
|
|
|
Common Stock |
04/23/03 |
|
G (3) |
|
1,000 |
D |
|
1,205,322 (4) |
D |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Table II Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date |
3A. Deemed Execution Date,
if any (Month/Day/ |
4. Transaction Code (Instr. 8) |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable and
Expiration Date |
7. Title and Amount of
Underlying Securities |
8. Price of Derivative
Security |
9. Number of Derivative
Securities Beneficially Owned Following Reported Transaction(s) |
10. Ownership Form of
Derivative Securities: Direct (D) or Indirect (I) |
11. Nature of Indirect
Beneficial Ownership |
||||
Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount or Number of Shares |
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Explanation of Responses: (1) Shares are owned by the Carlino Family Trust, a ten percent owner of the issuer and indirectly by the trustees listed on Attachment A, Joint Filer Information. The Carlino Family Trust distributed the 264,171 shares to the beneficiaries of the trust. Peter M. Carlino is a trustee of the Carlino Family Trust and an officer and director of the issuer. (2) Shares acquired by Peter M. Carlino as a beneficiary of the Carlino Family Trust. (3) Gift of shares to adult child of Peter M. Carlino. (4) Does not include 5,782,177 shares owned by the Carlino Family Trust, of which Peter M. Carlino is a trustee. Peter M. Carlino disclaims beneficial ownership of the shares owned by the Carlino Family 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 for any other purpose.
|
/s/ Robert S. Ippolito as attorney-in-fact for Peter M. Carlino ** Signature of Reporting Person |
4/25/03 Date |
|
|
|
|
Reminder: Report on a separate line for each
class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements
or omissions of facts constitute Federal Criminal Violations.
See 18
U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
http://www.sec.gov/divisions/corpfin/forms/form4.htm
Last update: 09/05/2002
Form
4 Report
Attachment A
Joint Filer Information
Name: |
|
Carlino Family Trust |
Address: |
|
825 Berkshire Boulevard Suite 200 Wyomissing, PA 19610 |
Designated Filer: |
|
Peter M. Carlino |
Issuer & Ticker Symbol: |
|
Penn National Gaming, Inc./ PENN |
Date of Event Requiring Statement: |
|
April 23, 2003 |
Signature |
|
/s/ Robert S. Ippolito as attorney-in-fact for Carlino Family Trust |
|
|
|
Name: |
|
Harold Cramer (1) |
Address: |
|
825 Berkshire Boulevard Suite 200 Wyomissing, PA 19610 |
Designated Filer: |
|
Peter M. Carlino |
Issuer & Ticker Symbol: |
|
Penn National Gaming, Inc./ PENN |
Date of Event Requiring Statement: |
|
April 23, 2003 |
Signature |
|
/s/ Robert S. Ippolito as attorney-in-fact for Harold Cramer |
|
|
|
Name: |
|
Peter D. Carlino (1) |
Address: |
|
825 Berkshire Boulevard Suite 200 Wyomissing, PA 19610 |
Designated Filer: |
|
Peter M. Carlino |
Issuer & Ticker Symbol: |
|
Penn National Gaming, Inc./ PENN |
Date of Event Requiring Statement: |
|
April 23, 2003 |
Signature |
|
/s/ Robert S. Ippolito as attorney-in-fact for Peter D. Carlino |
|
|
|
Name: |
|
Richard J. Carlino (1) |
Address: |
|
825 Berkshire Boulevard Suite 200 Wyomissing, PA 19610 |
Designated Filer: |
|
Peter M. Carlino |
Issuer & Ticker Symbol: |
|
Penn National Gaming, Inc./ PENN |
Date of Event Requiring Statement: |
|
April 23, 2003 |
Signature |
|
/s/ Robert S. Ippolito as attorney-in-fact for Richard J. Carlino |
|
|
|
Name: |
|
David E. Carlino (1) |
Address: |
|
825 Berkshire Boulevard Suite 200 Wyomissing, PA 19610 |
Designated Filer: |
|
Peter M. Carlino |
Issuer & Ticker Symbol: |
|
Penn National Gaming, Inc./ PENN |
Date of Event Requiring Statement: |
|
April 23, 2003 |
Signature |
|
/s/ Robert S. Ippolito as attorney-in-fact for David E. Carlino |
(1) The reporting person is a trustee of the Carlino Family Trust and shares investment power over the shares of the issuer owned by the Carlino Family Trust and shares voting power over certain matters. The reporting person disclaims beneficial ownership of the shares of the issuer owned by the Carlino Family Trust and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for the purpose of Section 16 or any other purpose.