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