0000805676-20-000033.txt : 20200204
0000805676-20-000033.hdr.sgml : 20200204
20200204110502
ACCESSION NUMBER: 0000805676-20-000033
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191231
FILED AS OF DATE: 20200204
DATE AS OF CHANGE: 20200204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DELAWDER DAN
CENTRAL INDEX KEY: 0001201379
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13006
FILM NUMBER: 20571116
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_158083228505792.xml
FORM 5
X0306
5
2019-12-31
0
0
0
0000805676
PARK NATIONAL CORP /OH/
PRK
0001201379
DELAWDER DAN
50 N. THIRD STREET
NEWARK
OH
43055
1
0
0
0
Common Shares
55280
D
Common Shares
4687.965
I
C. Daniel DeLawder Managing Agency Account
Common Shares
50232
I
Diane S., spouse
Common Shares
25177.10
I
KSOP
PBRSUs
Common Shares
1372.22
1372.22
D
Reflects 1,881.51 common shares of Park National Corporation ("Park"), previously owned directly by the reporting person, which were transferred on April 1, 2019 to the C. Daniel DeLawder Managing Agency Account, and are now owned indirectly.
Includes an aggregate of 743.075 common shares of Park acquired by the reporting person within the Park National Corporation Employees Stock Ownership Plan (the "KSOP") since the most recent reportable transaction date of March 31, 2019 through the remainder of the fiscal year ended December 31, 2019.
These performance-based restricted stock units ("PBRSUs") convert into Park 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.
/s/ C. Daniel DeLawder by Brady T. Burt, POA
2020-02-04