0000805676-18-000033.txt : 20180201 0000805676-18-000033.hdr.sgml : 20180201 20180201090222 ACCESSION NUMBER: 0000805676-18-000033 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180201 DATE AS OF CHANGE: 20180201 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: 18564851 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 5 1 wf-form5_151749372556160.xml FORM 5 X0306 5 2017-12-31 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 400 D Common Shares 5659 I Carol and Rick Taylor Charitable Remainder Unitrust Common Shares 0 I Rick Taylor Agency Trust Reflects transfer of 5,659 common shares of Park National Corporation on December 27, 2017 from the Rick Taylor Agency Account to the Carol and Rick Taylor Charitable Remainder Unitrust. /s/ Rick R. Taylor by Brady T. Burt, POA 2018-01-31