0000805676-19-000065.txt : 20190509 0000805676-19-000065.hdr.sgml : 20190509 20190509160001 ACCESSION NUMBER: 0000805676-19-000065 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190501 FILED AS OF DATE: 20190509 DATE AS OF CHANGE: 20190509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Matthew R CENTRAL INDEX KEY: 0001565840 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 19810347 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 FORMER NAME: FORMER CONFORMED NAME: Miller Matther R DATE OF NAME CHANGE: 20130103 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 3 1 wf-form3_155743198531144.xml FORM 3 X0206 3 2019-05-01 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001565840 Miller Matthew R 50 N. THIRD STREET NEWARK OH 43055 0 1 0 0 President Common Shares 0 D Common Shares 2806.299 I KSOP Common Shares 1553.454 I Matthew R. Miller Managing Agency Account PBRSUs Common Shares 686.11 D These performance-based restricted stock units ("PBRSUs") convert into 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 29, 2020. Exhibit List - - Exhibit 24 - - Power of Attorney /s/ Matthew R. Miller by Brady T. Burt, POA 2019-05-09