FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/01/2019 |
3. Issuer Name and Ticker or Trading Symbol
PARK NATIONAL CORP /OH/ [ PRK ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Shares | 3,901 | D | |
Common Shares | 1,862.9 | I | By Mark Ramser's IRA, Self-Directed Non-deductible |
Common Shares | 40.69 | I | By Mark Ramser's IRA, Self-Directed |
Common Shares | 16,465 | I | By Denise M. Ramser (spouse) |
Common Shares | 1,121.31 | I | By Denise Ramser's IRA, Self-Directed non-deductible |
Common Shares | 2,458.55 | I | By Denise Ramser's IRA, Self-Directed |
Common Shares | 1,733 | I | As Trustee of R.E. Ramser Trust FBO Elizabeth Ramser Jaime |
Common Shares | 4,283 | I | As Trustee of R.E. Ramser Trust FBO Hayley Ramser |
Common Shares | 3,311 | I | As Trustee of R.E. Ramser Trust FBO Russell Ramser |
Common Shares | 4,278 | I | As Co-Trustee of Russell E. Ramser Jr. Trust UAD 12/28/90 |
Common Shares | 3,421(1) | I | By Ramser FLP Inc. |
Common Shares | 25,416(2) | I | By Ramser FLP Ltd. |
Common Shares | 15,453(3) | I | By Ramser Arboretum |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. The reporting person is co-owner of Ramser FLP Inc. (owning 50% thereof). The common shares reported are those owned by Ramser FLP Inc. directly. In his capacity as a co-owner, the reporting person has shared voting and investment power over the common shares held by Ramser FLP Inc. The reporting person disclaims beneficial ownership of the reported common shares except to the extent of his pecuniary interest therein. |
2. The reporting person is co-owner of Ramser FLP Ltd. (owning 47.5% thereof). In his capacity as a co-owner, the reporting person has shared voting and investment power over the common shares held by Ramser FLP Ltd. The reporting person disclaims beneficial ownership of the reported common shares except to the extent of his pecuniary interest therein. |
3. The reporting person is Secretary and Treasurer of Ramser Arboretum and is one of three individuals who currently share voting and investment power over the common shares held by Ramser Arboretum. The reporting person disclaims any pecuniary interest in these common shares since Ramser Arboretum is a 501(c)(3) private charitable operating foundation. |
Remarks: |
Exhibit List -- Exhibit 24 -- Power of Attorney |
/s/ Mark R. Ramser by Brady T. Burt, POA | 01/09/2019 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |