0000805676-19-000052.txt : 20190402 0000805676-19-000052.hdr.sgml : 20190402 20190402173101 ACCESSION NUMBER: 0000805676-19-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190329 FILED AS OF DATE: 20190402 DATE AS OF CHANGE: 20190402 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Herreman Kelly A CENTRAL INDEX KEY: 0001702544 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 19726586 MAIL ADDRESS: STREET 1: 50 N THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 FORMER NAME: FORMER CONFORMED NAME: Edds Kelly A DATE OF NAME CHANGE: 20170330 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 4 1 wf-form4_155424064522799.xml FORM 4 X0306 4 2019-03-29 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001702544 Herreman Kelly A 50 N. THIRD STREET NEWARK OH 43055 0 1 0 0 Chief Accounting Officer Common Shares 2019-03-29 4 A 0 137.22 A 137.22 D Common Shares 2019-03-29 4 F 0 48.92 94.75 D 88.30 D Common Shares 811.043 I KSOP PBRSUs 2019-03-29 4 A 0 137.22 0 A Common Shares 137.22 137.22 D Effective March 29, 2019 (the "2016 PBRSU Certification Date"), the Compensation Committee of the Board of Directors of Park National Corporation ("Park") certified the level of achievement with respect to the performance criteria for the three-fiscal-year performance period applicable to performance-based restricted stock units ("PBRSUs") granted to the reporting person effective January 1, 2016. The PBRSUs convert into Park common shares on a one-for-one basis. The PBRSUs earned based on the performance level achieved are also subject to a service-based vesting requirement with 50% vesting (resulting in the right to receive the 137.22 common shares shown in the first row in Table I) on the 2016 PBRSU Certification Date and the other 50% to vest on the first anniversary of the 2016 PBRSU Certification Date (shown in the first row in Table II as a derivative security). Between January 1 and March 31, 2019, the reporting person acquired 75.454 common shares under the Park National Corporation Employees Stock Ownership Plan (the "KSOP"). The information in this report is based on a plan statement dated as of April 1, 2019. /s/ Kelly A. Herreman by Brady T. Burt, POA 2019-04-02