0000805676-22-000022.txt : 20220210
0000805676-22-000022.hdr.sgml : 20220210
20220210170618
ACCESSION NUMBER: 0000805676-22-000022
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220210
DATE AS OF CHANGE: 20220210
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: 22615160
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_164453073269430.xml
FORM 5
X0306
5
2021-12-31
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
56507
D
Common Shares
27347.804
I
KSOP
Common Shares
8199.962
I
C. Daniel DeLawder Managing Agency Account
Common Shares
50232
I
Diane S., spouse
PBRSUs
Common Shares
1062.5
1062.50
D
Reflects the transfer of 777 common shares of Park National Corporation ("Park") from being held and beneficially owned indirectly through the reporting person's account under the Park National Corporation Employees Stock Ownership Plan (the "KSOP") to being held and beneficially owned directly by the reporting person as a result of the reporting person receiving a required minimum distribution from the KSOP on Nov. 30, 2021.
Includes 255.045 common shares of Park acquired by the reporting person within the KSOP since the most recent reportable transaction date of October 25, 2021 through the remainder of the fiscal year ended December 31, 2021.
The number shown in this Form 5 compared to the reporting person's Form 4 dated Oct. 25, 2021, which reported 8,199.953 common shares, reflects the addition of 0.009 common share of Park for the correct total of 8,199.962 common shares beneficially owned indirectly in the C. Daniel DeLawder Managing Agency Account.
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 31, 2022.
/s/ Brady T. Burt, Attorney-in-Fact for C. Daniel DeLawder
2022-02-10