0000805676-17-000124.txt : 20171101 0000805676-17-000124.hdr.sgml : 20171101 20171101153812 ACCESSION NUMBER: 0000805676-17-000124 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: Miller Matthew R CENTRAL INDEX KEY: 0001565840 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 171168790 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 FORMER NAME: FORMER CONFORMED NAME: Miller Matther R DATE OF NAME CHANGE: 20130103 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_150956507877189.xml FORM 4/A X0306 4/A 2017-03-31 2017-04-04 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001565840 Miller Matthew R 50 N. THIRD STREET NEWARK OH 43055 0 1 0 0 Chief Accounting Officer Common Shares 2017-03-31 4 A 0 343.06 A 343.06 D Common Shares 2017-03-31 4 F 0 108.764 105.20 D 234.296 D Common Shares 2017-04-04 4 J 0 234.296 D 0 D Common Shares 2017-04-04 4 J 0 234.296 A 234.296 I Matthew R. Miller Managing Agency Account Common Shares 2017-03-31 4 J 0 80.198 A 1996.30 I KSOP PBRSUs 2017-03-31 4 A 0 343.06 0 A Common Shares 343.06 343.06 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 343.06 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 234.296 common shares previously owned directly by the reporting person which were transferred on April 4, 2017 to the Matthew R. Miller Managing Agency Account. Between January 1 and March 31, 2017, the reporting person acquired 80.198 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/ Matthew R. Miller by Brady T. Burt, POA 2017-11-01