0000805676-17-000012.txt : 20170213 0000805676-17-000012.hdr.sgml : 20170213 20170213131656 ACCESSION NUMBER: 0000805676-17-000012 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170213 DATE AS OF CHANGE: 20170213 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: ENGLEFIELD F W IV CENTRAL INDEX KEY: 0001311245 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 17597653 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET STREET 2: P O BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 5 1 wf-form5_148700980311385.xml FORM 5 X0306 5 2016-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001311245 ENGLEFIELD F W IV 50 N. THIRD STREET NEWARK OH 43055 1 0 0 0 Common Shares 0 D Common Shares 3561 I F. Wm. Englefield IV Managing Agency Acct. Common Shares 1590 I Merrill Lynch Cash Mgmt Acct Common Shares 273 I Merrill Lynch IRA Reflects transfer of 350 common shares received on October 24, 2016 from direct ownership to indirect ownership through the reporting person's Managing Agency Account on December 20, 2016. /s/ F. W. Englefield IV by Brady T. Burt, POA 2017-02-13