0000805676-24-000017.txt : 20240213 0000805676-24-000017.hdr.sgml : 20240213 20240213145649 ACCESSION NUMBER: 0000805676-24-000017 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240213 DATE AS OF CHANGE: 20240213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kambeitz Stephen J. CENTRAL INDEX KEY: 0001479567 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 24624970 MAIL ADDRESS: STREET 1: 50 NORTH THIRD ST., PO 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] ORGANIZATION NAME: 02 Finance 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 wk-form5_1707854199.xml FORM 5 X0508 5 2023-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001479567 Kambeitz Stephen J. 50 N. THIRD STREET NEWARK OH 43058-3500 1 0 0 0 0 Common Shares 0 D Common Shares 5033 I Wells Fargo Account - Stephen J Kambeitz Common Shares 250 I Wells Fargo Retirement Account - Stephen J Kambeitz IRA Includes 428 common shares of Park National Corporation ("Park"), previously owned directly by the reporting person, which were transferred on November 17, 2023 to the Raymond James Account of Stephen J. Kambeitz and are now owned indirectly. These combined 5,283 common shares of Park were previously held in two Raymond James accounts and were transferred to two new Wells Fargo accounts on December 28, 2023. /s/ Brady T. Burt, Attorney-in-Fact for Stephen J. Kambeitz 2024-02-13