0000805676-21-000133.txt : 20211027 0000805676-21-000133.hdr.sgml : 20211027 20211027130940 ACCESSION NUMBER: 0000805676-21-000133 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211025 FILED AS OF DATE: 20211027 DATE AS OF CHANGE: 20211027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZAZWORSKY LEON CENTRAL INDEX KEY: 0001267119 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 211352015 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET STREET 2: PO BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 FORMER NAME: FORMER CONFORMED NAME: ZAZWORSKY LEE DATE OF NAME CHANGE: 20031015 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 1 wf-form4_163535456613237.xml FORM 4 X0306 4 2021-10-25 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001267119 ZAZWORSKY LEON 50 N. THIRD STREET NEWARK OH 43055 1 0 0 0 Common Shares 2021-10-25 4 A 0 450 125.13 A 450 D Common Shares 47262 I Leon Zazworsky Stifel Nicolaus Account Common Shares 100 I Judy Zazworsky (spouse) Stifel Nicolaus account Common Shares 552 I Lee Zazworsky Ameritrade Account Common Shares 10.48 I Moundvest Investment Club Common shares of Park National Corporation ("Park") were awarded automatically pursuant to and in accordance with the terms of the Park National Corporation 2017 Long-Term Incentive Plan for Non-Employee Directors (the "2017 Non-Employee Directors LTIP"). Includes 9,997 common shares of Park, previously owned directly by the reporting person, 8,250 of which were transferred on October 8, 2021 and 1,747 of which were transferred on October 14, 2021 to the Leon Zazworsky Stifel Nicolaus Account and are now owned indirectly. The reporting person disclaims beneficial ownership of these common shares, and this report shall not be deemed an admission that the reporting person is the beneficial owner of these common shares for purposes of Section 16 of the Securities Exchange of Act of 1934 or for any other purpose. Reflects the reporting person's proportionate interest in the common shares owned of record by Moundvest Investment Club. /s/ Brady T. Burt, Attorney-in-Fact for Leon Zazworsky 2021-10-27