0000805676-23-000026.txt : 20230208 0000805676-23-000026.hdr.sgml : 20230208 20230208151724 ACCESSION NUMBER: 0000805676-23-000026 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: Miller Matthew R CENTRAL INDEX KEY: 0001565840 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 23598809 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 5 1 wf-form5_167588742920301.xml FORM 5 X0306 5 2022-12-31 0 0 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 0 D Common Shares 4416.069 I KSOP Common Shares 5158.157 I Matthew R. Miller Managing Agency Account PBRSUs Common Shares 1112.5 1112.50 D Includes an aggregate of 287.140 common shares of Park National Corporation ("Park") acquired by the reporting person within the Park National Corporation Employees Stock Ownership Plan (the "KSOP") from April 1, 2022 through December 31, 2022. Includes an aggregate of 84.257 common shares of Park acquired by the reporting person through the dividend reinvestment plan maintained for Park shareholders with respect to common shares held in the Matthew R. Miller Managing Agency Account from April 1, 2022 through December 31, 2022. These performance-based restricted stock units ("PBRSUs") convert into 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 Matthew R. Miller 2023-02-08