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