0000805676-17-000017.txt : 20170213 0000805676-17-000017.hdr.sgml : 20170213 20170213131825 ACCESSION NUMBER: 0000805676-17-000017 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: TAYLOR RICK CENTRAL INDEX KEY: 0001201392 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 17597667 5 1 wf-form5_148700989216165.xml FORM 5 X0306 5 2016-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001201392 TAYLOR RICK 50 N. THIRD STREET NEWARK OH 43055 1 0 0 0 Common Shares 0 D Common Shares 5659 I Rick Taylor Agency Trust Reflects transfer of 300 common shares received on October 24, 2016 from direct ownership to indirect ownership through the reporting person's Agency Trust on December 19, 2016. /s/ Rick R. Taylor by Brady T. Burt, POA 2017-02-13