0000805676-21-000072.txt : 20210412
0000805676-21-000072.hdr.sgml : 20210412
20210412171157
ACCESSION NUMBER: 0000805676-21-000072
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210331
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: 21821378
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_161826190391883.xml
FORM 4/A
X0306
4/A
2021-03-31
2021-04-02
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
2021-03-31
4
A
0
927.92
A
1542.06
D
Common Shares
2021-03-31
4
F
0
431.18
129.30
D
1110.88
D
Common Shares
6447.412
I
KSOP
Common Shares
4118.257
I
Brady T. Burt Managing Agency Account
PBRSUs
2021-03-31
4
A
0
927.92
0
A
Common Shares
927.92
927.92
D
Effective March 31, 2021 (the "2018 PBRSU Certification Date"), the Executive 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, 2018. 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 927.92 common shares shown in the first row in Table I) on the 2018 PBRSU Certification Date and the other 50% to vest on the first anniversary of the 2018 PBRSU Certification Date (shown in the first row in Table II as a derivative security).
On April 2, 2021, the reporting person filed a Form 4 (the "April 2, 2021 Form 4") which reported an estimated number of common shares as being beneficially owned by the reporting person following the reported transaction. This amendment reports the correct number of common shares.
In the April 2, 2021 Form 4, the reporting person 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.
Between January 1 and March 31, 2021, the reporting person acquired 206.318 common shares of Park 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 March 31, 2021.
These PBRSUs were earned based on the performance level achieved as described in footnote (1) and are also subject to service-based vesting pursuant to which they are to vest on the first anniversary of the 2018 PBRSU Certification Date. Each PBRSU represents the right to receive one Park common share upon satisfaction of the service-based vesting requirement.
/s/ Brady T. Burt
2021-04-12