0000805676-17-000013.txt : 20170213 0000805676-17-000013.hdr.sgml : 20170213 20170213131714 ACCESSION NUMBER: 0000805676-17-000013 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: Kambeitz Stephen J. CENTRAL INDEX KEY: 0001479567 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 17597657 MAIL ADDRESS: STREET 1: 50 NORTH THIRD ST., PO BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 5 1 wf-form5_148700981945250.xml FORM 5 X0306 5 2016-12-31 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 Shares 0 I Fifth Third Securities Account Common Shares 0 D Common Shares 2058 I Raymond James Account - Stephen J Kambeitz Common Shares 250 I Raymond James Retirement Account - Stephen J Kambeitz IRA Reflects transfer of 118 common shares previously held in the reporting person's Fifth Third Securities Account to the reporting person's Raymond James Account on August 1, 2016. Reflects transfer of 350 common shares received on October 24, 2016 from direct ownership to indirect ownership through the reporting person's Raymond James Account on October 31, 2016. /s/ Stephen J. Kambeitz by Brady T. Burt, POA 2017-02-13