0000805676-17-000122.txt : 20171101
0000805676-17-000122.hdr.sgml : 20171101
20171101153740
ACCESSION NUMBER: 0000805676-17-000122
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170331
FILED AS OF DATE: 20171101
DATE AS OF CHANGE: 20171101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burt Brady T
CENTRAL INDEX KEY: 0001330808
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13006
FILM NUMBER: 171168783
MAIL ADDRESS:
STREET 1: 0015 BENCHMARK ROAD, SUITE 300
STREET 2: P.O. BOX 6580
CITY: AVON
STATE: CO
ZIP: 81620
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/A
1
wf-form4a_150956504777826.xml
FORM 4/A
X0306
4/A
2017-03-31
2017-04-04
0
0000805676
PARK NATIONAL CORP /OH/
PRK
0001330808
Burt Brady T
50 N. THIRD STREET
NEWARK
OH
43055
0
1
0
0
Chief Financial Officer
Common Shares
2017-03-31
4
A
0
514.58
A
514.58
D
Common Shares
2017-03-31
4
F
0
167.771
105.20
D
346.809
D
Common Shares
2017-04-04
4
J
0
346.809
D
0
D
Common Shares
2017-04-04
4
J
0
346.809
A
346.809
I
Brady T. Burt Managing Agency Account
Common Shares
2017-03-31
4
J
0
133.004
A
4529.297
I
KSOP
PBRSUs
2017-03-31
4
A
0
514.58
0
A
Common Shares
514.58
514.58
D
On March 31, 2017 (the "Certification Date"), the Compensation Committee of the Board of Directors of Park National Corporation ("Park") certified the level of achievement with respect to the performance criteria for the three-fiscal-year performance period applicable to performance-based restricted stock units ("PBRSUs") granted to the reporting person on January 24, 2014. The PBRSUs convert into Park common shares on a one-for-one basis. The PBRSUs earned based on the performance level achieved are also subject to service-based vesting with 50% vesting (resulting in the right to receive the 514.58 common shares shown on the first line in Table I) on the Certification Date and the other 50% to vest on the first anniversary of the Certification Date (shown in Table II as a derivative security).
Includes 346.809 common shares previously owned directly by the reporting person which were transferred on April 4, 2017 to the Brady T. Burt Managing Agency Account.
Between January 1 and March 31, 2017, the reporting person acquired 133.004 common shares under the Park National Corporation Employees Stock Ownership Plan (the "KSOP"). The information in this report is based on a plan statement dated as of March 31, 2017.
These PBRSUs were earned based on the performance level achieved as described in footnote 1 and are also subject to service-based vesting pursuant to which they are to vest on the first anniversary of the Certification Date. Each PBRSU represents the right to receive one Park common share upon satisfaction of the service-based vesting requirement.
/s/ Brady T. Burt
2017-11-01