0000805676-23-000018.txt : 20230208 0000805676-23-000018.hdr.sgml : 20230208 20230208151447 ACCESSION NUMBER: 0000805676-23-000018 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230208 DATE AS OF CHANGE: 20230208 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: 23598786 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_167588727347856.xml FORM 5 X0306 5 2022-12-31 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 57769 D Common Shares 27641.882 I KSOP Common Shares 10074.275 I C. Daniel DeLawder Managing Agency Account Common Shares 50232 I Diane S., spouse PBRSUs Common Shares 1668.75 1668.75 D On December 2, 2022, the reporting person received a distribution of 965 common shares of Park National Corporation ("Park") previously beneficially owned within the Park National Corporation Employees Stock Ownership Plan (the "KSOP"). Includes an aggregate of 318.327 common shares of Park acquired by the reporting person within the KSOP since the most recent reportable transaction date of October 24, 2022 through the remainder of the fiscal year ended December 31, 2022. 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, 2023. /s/ Brady T. Burt, Attorney-in-Fact for C. Daniel DeLawder 2023-02-08