0000805676-21-000063.txt : 20210412 0000805676-21-000063.hdr.sgml : 20210412 20210412170520 ACCESSION NUMBER: 0000805676-21-000063 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210327 FILED AS OF DATE: 20210412 DATE AS OF CHANGE: 20210412 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burt Brady T CENTRAL INDEX KEY: 0001330808 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 21821324 MAIL ADDRESS: STREET 1: 0015 BENCHMARK ROAD, SUITE 300 STREET 2: P.O. BOX 6580 CITY: AVON STATE: CO ZIP: 81620 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/A 1 wf-form4a_161826150737600.xml FORM 4/A X0306 4/A 2021-03-27 2021-03-30 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001330808 Burt Brady T 50 N. THIRD STREET NEWARK OH 43055 0 1 0 0 Chief Financial Officer Common Shares 2021-03-27 4 M 0 1147.22 A 1147.22 D Common Shares 2021-03-27 4 F 0 533.08 134.47 D 614.14 D Common Shares 6241.094 I KSOP Common Shares 4118.257 I Brady T. Burt Managing Agency Account PBRSUs 2021-03-27 4 M 0 1147.22 0 D Common Shares 1147.22 0 D These performance-based restricted stock units ("PBRSUs") converted into common shares of Park National Corporation on a one-for-one basis upon satisfaction of a service-based vesting requirement on March 27, 2021. On March 30, 2021, the reporting person filed a Form 4 which reported an estimated number of common shares as being withheld by Park National Corporation in order to satisfy the tax withholding obligations that arose upon the vesting of the PBRSUs. This amendment reports the correct number of common shares withheld. /s/ Brady T. Burt 2021-04-12