0000805676-16-000137.txt : 20160212 0000805676-16-000137.hdr.sgml : 20160212 20160212155110 ACCESSION NUMBER: 0000805676-16-000137 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160212 DATE AS OF CHANGE: 20160212 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: ONEILL ROBERT E CENTRAL INDEX KEY: 0001575176 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 161418610 MAIL ADDRESS: STREET 1: 50 N THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 5 1 wf-form5_145531025840176.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001575176 ONEILL ROBERT E 50 N. THIRD STREET NEWARK OH 43055 1 0 0 0 Common Shares 3910.0357 I Through DRIP Common Shares 2930 D Common Shares 500 I Alexa Robinson-O'Neill (spouse) Managing Agency Account Common Shares 21458 I By John J. O'Neill Investment Trust Common Shares 24748 I By John J. O'Neill Living Trust Reflects the aggregate number of 268.4095 common shares of Park National Corporation (the "Issuer") held in the reporting person's account under the Park National Corporation Dividend Reinvestment Plan (the "DRIP"), which were acquired during the fiscal year ended December 31, 2015. On April 30, 2015, 500 common shares were transferred to the reporting person's Direct (D) account from the Robert E. O'Neill Managing Agency account, but the Form 4 filed on May 7, 2015 reflected these common shares "Through DRIP" in error. The 500 common shares are held directly but dividends thereon are subject to the Dividend Reinvestment Plan (the "DRIP"). With the filing of this Form 5, the reporting person's holdings have been updated to accurately reflect how the common shares are actually held. The reporting person became a successor co-trustee of the John J. O'Neill Investment Trust (the "JJO Investment Trust") upon the death of his father on November 16, 2014. Members of his immediate family are among the beneficiaries of the JJO Investment Trust. The reporting person disclaims beneficial ownership of the Park National Corporation common shares held by the JJO Investment Trust except to the extent of his pecuniary interest therein, if any. The number of common shares reported reflects the number of common shares held by the JJO Investment Trust on December 31, 2015. The reporting person became a successor co-trustee of the John J. O'Neill Living Trust (the "JJO Living Trust") upon the death of his father on November 16, 2014. The reporting person and members of his immediate family are among the beneficiaries of the JJO Living Trust. The reporting person disclaims beneficial ownership of the Park National Corporation common shares held by the JJO Living Trust except to the extent of his pecuniary interest therein, if any. The number of common shares reported reflects the number of common shares held by the JJO Living Trust on December 31, 2015. /s/ Robert E. O'Neill by Brady T. Burt, POA 2016-02-12