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