0000805676-22-000023.txt : 20220210
0000805676-22-000023.hdr.sgml : 20220210
20220210170640
ACCESSION NUMBER: 0000805676-22-000023
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: ENGLEFIELD F W IV
CENTRAL INDEX KEY: 0001311245
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13006
FILM NUMBER: 22615171
MAIL ADDRESS:
STREET 1: 50 NORTH THIRD STREET
STREET 2: P O BOX 3500
CITY: NEWARK
STATE: OH
ZIP: 43058-3500
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_164453078527634.xml
FORM 5
X0306
5
2021-12-31
0
0
0
0000805676
PARK NATIONAL CORP /OH/
PRK
0001311245
ENGLEFIELD F W IV
50 N. THIRD STREET
NEWARK
OH
43055
1
0
0
0
Common Shares
0
D
Common Shares
5811
I
F. Wm. Englefield IV Managing Agency Account
Common Shares
1590
I
Merrill Lynch Cash Mgmt Account
Common Shares
273
I
Merrill Lynch IRA
Common Shares
860
I
F. W. Englefield IV Trustee U/A dated 06/21/1982 by Janet B. Englefield
Includes 450 common shares of Park National Corporation, previously owned directly by the reporting person, which were transferred on December 22, 2021 to the F. Wm. Englefield IV Managing Agency Account, and are now owned indirectly.
/s/ Brady T. Burt, Attorney-in-Fact for F. W. Englefield IV
2022-02-10