-----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, BQtS2kWnDiwm4fxQtnutp/klB6mIVDnfbntHQpAlmNhSCoLQb8oo/VbB0nKxVIVO ZRrtD2N7ejIMZSWFGbyG4g== 0000805676-04-000011.txt : 20040114 0000805676-04-000011.hdr.sgml : 20040114 20040114102041 ACCESSION NUMBER: 0000805676-04-000011 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: CULLERS JAMES J CENTRAL INDEX KEY: 0001201378 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 04524029 BUSINESS ADDRESS: STREET 1: PARK NATIONAL CORP. STREET 2: 50 NORTH THIRD STREET 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 c0001201378d20040114f5f.xml PRIMARY DOCUMENT X0201 52003-12-310000000805676PARK NATIONAL CORP /OH/ PRK0001201378CULLERS JAMES J50 NORTH THIRD STREETNEWARKOH430551000Common Stock2003-12-315J01800D830DCommon Stock669.1591IAlice Cullers-Spouse-IRACommon Stock4027.0571ITrust-J.Cullers Profit SharingCommon Stock12.3473ISpouse-Zoe-gr.daughterCommon Stock12.3473ISpouse-Emily-gr.daughterCommon Stock2003-12-315Z01800A1399.9536IJames J. Cullers DRIPCommon Stock61.662ICustodial(A)Hanna-gr.daughterCommon Stock59.8435ICustodial(B)Maria-gr.daughterCommon Stock59.6272ICustodial(C)Alison-gr.daughterCommon Stock36.7728ISpouse-cust(A)Sophia-gr.daugtrCommon Stock36.7728ISpouse-Cust(B)Leah-gr.daughterStock Option37.361996-03-272006-03-27Common Stock651651DTransfer from Mr. Cullers direct holdings to his DRIP acct.David L. Trautman,C.Daniel DeLawder2004-01-14 -----END PRIVACY-ENHANCED MESSAGE-----