0000805676-18-000037.txt : 20180201 0000805676-18-000037.hdr.sgml : 20180201 20180201143217 ACCESSION NUMBER: 0000805676-18-000037 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: Burt Brady T CENTRAL INDEX KEY: 0001330808 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 18566383 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 5 1 wf-form5_151751352254352.xml FORM 5 X0306 5 2017-12-31 0 0 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 0 D Common Shares 346.809 I Brady T. Burt Managing Agency Account Common Shares 4723.347 I KSOP PBRSUs Common Shares 514.58 514.58 D Includes an aggregate of 194.050 common shares of Park National Corporation ("Park") acquired by the reporting person within the Park National Corporation Employees Stock Ownership Plan (the "KSOP") since the most recent reportable transaction date of March 31, 2017 through the remainder of the fiscal year ended December 31, 2017. These performance-based restricted stock units ("PBRSUs") convert into Park common shares on a one-for-one basis upon satisfaction of a service-based vesting requirement pursuant to which they are to vest on March 31, 2018. /s/ Brady T. Burt 2018-02-01