0000805676-16-000138.txt : 20160212 0000805676-16-000138.hdr.sgml : 20160212 20160212155124 ACCESSION NUMBER: 0000805676-16-000138 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: SLOAT JULIA A CENTRAL INDEX KEY: 0001643029 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 161418612 MAIL ADDRESS: STREET 1: 50 N THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 5 1 wf-form5_145531027344661.xml FORM 5 X0306 5 2015-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001643029 SLOAT JULIA A 50 N. THIRD STREET NEWARK OH 43055 1 0 0 0 Common Shares 350 D Common Shares 400 I Julia A. Sloat - Fidelity Account On the original Form 3 (filed June 5, 2015) and a subsequent Form 4 (filed October 27, 2015), 400 common shares were incorrectly identified as a Direct (D) holding. This Form 5 correctly reflects the 400 common shares as being held indirectly through an account with Fidelity. /s/ Julia A. Sloat by Brady T. Burt, POA 2016-02-12