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