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