0000805676-22-000066.txt : 20220523 0000805676-22-000066.hdr.sgml : 20220523 20220523120456 ACCESSION NUMBER: 0000805676-22-000066 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220331 FILED AS OF DATE: 20220523 DATE AS OF CHANGE: 20220523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Matthew R CENTRAL INDEX KEY: 0001565840 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 22950440 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 FORMER NAME: FORMER CONFORMED NAME: Miller Matther R DATE OF NAME CHANGE: 20130103 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_165332188035487.xml FORM 4/A X0306 4/A 2022-03-31 2022-04-04 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001565840 Miller Matthew R 50 N. THIRD STREET NEWARK OH 43055 1 1 0 0 President Common Shares 2022-03-31 4 A 0 1112.50 A 1112.50 D Common Shares 2022-03-31 4 F 0 512.836 131.38 D 599.664 D Common Shares 2022-03-31 4 M 0 850 A 1449.664 D Common Shares 2022-03-31 4 F 0 391.83 131.38 D 1057.834 D Common Shares 2022-04-29 5 J 0 E 1057.834 0 D 0 D Common Shares 4016.066 I Matthew R. Miller Managing Agency Account Common Shares 2022-04-29 5 J 0 E 1057.834 0 A 5073.90 I Matthew R. Miller Managing Agency Account Common Shares 4128.929 I KSOP PBRSUs 2022-03-31 4 M 0 850 D Common Shares 850.0 0 D PBRSUs 2022-03-31 4 A 0 1112.50 A Common Shares 1112.5 1112.50 D Effective March 31, 2022 (the "2019 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, 2019. 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 1,112.50 common shares shown in the first row in Table I) on the 2019 PBRSU Certification Date and the other 50% to vest on the first anniversary of the 2019 PBRSU Certification Date (shown in the second row in Table II as a derivative security). In the April 4, 2022 Form 4, an estimated number of Park common shares was reported as being withheld by Park in order to satisfy the tax withholding obligations of the reporting person that arose upon the vesting of the PBRSUs which were not subject to the service-based vesting requirement described in footnote (1) and the vesting of the PBRSUs that had been subject to the service-based vesting requirement described in footnote (3), as applicable. This amendment reports the correct number of common shares withheld. These PBRSUs converted into Park common shares on a one-for-one basis upon satisfaction of a service-based vesting requirement on March 31, 2022. Reflects the transfer in April 2022 of 1,057.834 Park common shares, previously beneficially owned directly by the reporting person, to the Matthew R. Miller Managing Agency Account, where they are now beneficially owned indirectly. Between January 1 and March 31, 2022, the reporting person acquired 30.674 common shares through the election of dividend reinvestment with respect to common shares held in the Matthew R. Miller Managing Agency Account (the reinvestment terms of which are substantially similar to those of Park's Dividend Reinvestment Plan). The information in this report is based on a plan statement dated as of March 31, 2022. Between January 1 and March 31, 2022, the reporting person acquired 103.046 common shares 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, 2022. /s/ Brady T. Burt, Attorney-in-Fact for Matthew R. Miller 2022-05-23