0000805676-19-000026.txt : 20190208 0000805676-19-000026.hdr.sgml : 20190208 20190208124029 ACCESSION NUMBER: 0000805676-19-000026 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190208 DATE AS OF CHANGE: 20190208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kambeitz Stephen J. CENTRAL INDEX KEY: 0001479567 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 19578894 MAIL ADDRESS: STREET 1: 50 NORTH THIRD ST., PO BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 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_154964761517260.xml FORM 5 X0306 5 2018-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001479567 Kambeitz Stephen J. 50 N. THIRD STREET NEWARK OH 43058-3500 1 0 0 0 Common Shares 0 D Common Shares 2958 I Raymond James Account - Stephen J Kambeitz Common Shares 250 I Raymond James Retirement Account - Stephen J Kambeitz IRA Includes 450 common shares of Park National Corporation, previously owned directly, which were transferred on October 29, 2018 to the Raymond James Account and are now owned indirectly. /s/ Stephen J. Kambeitz by Brady T. Burt, POA 2019-02-08