0000805676-15-000017.txt : 20150113 0000805676-15-000017.hdr.sgml : 20150113 20150113164559 ACCESSION NUMBER: 0000805676-15-000017 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150113 DATE AS OF CHANGE: 20150113 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kambeitz Stephen J. CENTRAL INDEX KEY: 0001479567 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 15525207 MAIL ADDRESS: STREET 1: 50 NORTH THIRD ST., PO BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 5 1 wf-form5_142118554908170.xml FORM 5 X0306 5 2014-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001479567 Kambeitz Stephen J. 50 N. THIRD STREET NEWARK OH 43058-3500 1 0 0 0 Common Stock 2014-11-05 5 J 0 350 0 D 0 D Common Stock 2014-11-05 5 J 0 350 0 A 1240 I Raymond James Account - Stephen J Kambeitz Common Stock 250 I UBS Retirement Account - Stephen J Kambeitz IRA Common Stock 118 I Fifth Third Securities Account Transfer of shares acquired on 10/27/14 Stephen J. Kambeitz by Brady T. Burt, POA 2015-01-13