-----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, AO0ill07CXYd0ZYMKYF1cKBttcal+FY45yW0i/XvV/Vr9Y/Aq4PnD3Z9TsM876NT QofzAMykHr7s8r1aZuSJ3w== 0000805676-04-000009.txt : 20040114 0000805676-04-000009.hdr.sgml : 20040114 20040114101819 ACCESSION NUMBER: 0000805676-04-000009 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZAK JOHN W CENTRAL INDEX KEY: 0001221815 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 04524020 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET STREET 2: PO BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PARK NATIONAL CORP /OH/ CENTRAL INDEX KEY: 0000805676 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 311179518 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 50 NORTH THIRD ST CITY: NEWARK STATE: OH ZIP: 43055 BUSINESS PHONE: 6143498451 MAIL ADDRESS: STREET 1: P O BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 5 1 c0001221815d20040114f5f.xml PRIMARY DOCUMENT X0201 52003-12-310000000805676PARK NATIONAL CORP /OH/ PRK0001221815KOZAK JOHN W50 NORTH THIRD STREETNEWARKOH430550100Chief Financial OfficerCommon Stock18651DCommon Stock2003-12-315J0263.60040A2180.7114IKSOPCommon Stock2003-12-315J016.38070A519.7707IDRIPStock Option832000-05-222005-05-22Common Stock12041204DStock Option88.52002-01-012006-06-25Common Stock11001100DStock Option90.481999-05-112004-05-11Common Stock10501050DStock Option92.152003-01-012007-06-06Common Stock10851085DStock Option952000-05-012005-05-01Common Stock500500DStock Option98.572003-11-045J0470D1998-11-04 2003-11-04Common Stock470DStock Option102.42003-05-092008-05-09Common Shares538538D*These shares were acquired pursuant to The Park National Corporation Employee Voluntary Salary Deferal Plan and Trust (401K Plan) during the fiscal year ended 12/31/03 at prices ranging from $94.00 per share to $118.38 per share.These shares were acquired pursuant to Park National Corporation's Dividend Reinvestment Plan (DRIP) from 1/1/03 through 9/10/03 at prices ranging from $97.94 per share to $115.73 per share.Stock options have expiredC. Daniel DeLawder2004-01-14 -----END PRIVACY-ENHANCED MESSAGE-----