0000805676-17-000100.txt : 20171024 0000805676-17-000100.hdr.sgml : 20171024 20171024160336 ACCESSION NUMBER: 0000805676-17-000100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171023 FILED AS OF DATE: 20171024 DATE AS OF CHANGE: 20171024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEROBERTS JAMES R CENTRAL INDEX KEY: 0001634615 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 171151009 MAIL ADDRESS: STREET 1: 50 N THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 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 4 1 wf-form4_150887540230641.xml FORM 4 X0306 4 2017-10-23 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001634615 DEROBERTS JAMES R 50 N. THIRD STREET NEWARK OH 43055 1 0 0 0 Common Shares 2017-10-23 4 A 0 450 111.25 A 1150 D Common Shares 900 I By Chartwell Family Group, Inc. Common Shares 400 I By UBS IRA Account Common shares were awarded pursuant to and in accordance with the terms of the Park National Corporation 2017 Long-Term Incentive Plan for Non-Employee Directors (the "2017 Non-Employee Directors LTIP"). /s/ James R. DeRoberts by Brady T. Burt, POA 2017-10-24