0000805676-17-000016.txt : 20170213 0000805676-17-000016.hdr.sgml : 20170213 20170213131809 ACCESSION NUMBER: 0000805676-17-000016 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: SLOAT JULIA A CENTRAL INDEX KEY: 0001643029 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 17597665 MAIL ADDRESS: STREET 1: 50 N THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 5 1 wf-form5_148700987505044.xml FORM 5 X0306 5 2016-12-31 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 700 D Common Shares 5.5206 I Through DRIP Common Shares 400 I Julia A. Sloat - Fidelity Account Reflects the aggregate number of 5.5206 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 since the most recent reportable transaction date of October 24, 2016. /s/ Julia A. Sloat by Brady T. Burt, POA 2017-02-13