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