0000805676-24-000019.txt : 20240213
0000805676-24-000019.hdr.sgml : 20240213
20240213145715
ACCESSION NUMBER: 0000805676-24-000019
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: Burt Brady T
CENTRAL INDEX KEY: 0001330808
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13006
FILM NUMBER: 24624974
MAIL ADDRESS:
STREET 1: 0015 BENCHMARK ROAD, SUITE 300
STREET 2: P.O. BOX 6580
CITY: AVON
STATE: CO
ZIP: 81620
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_1707854223.xml
FORM 5
X0508
5
2023-12-31
0
0
0
0000805676
PARK NATIONAL CORP /OH/
PRK
0001330808
Burt Brady T
50 N. THIRD STREET
NEWARK
OH
43055
0
1
0
0
Chief Financial Officer
0
Common Shares
0
D
Common Shares
7849.997
I
KSOP
Common Shares
8390.012
I
Brady T. Burt Managing Agency Account
PBRSUs
Common Shares
1350
1350
D
The number of common shares reported as beneficially owned differs due to shares acquired under Park National Corporation's ("Park") employee stock ownership plan (the "KSOP").
Includes an addition of 0.029 common share of Park to reflect the correct total of common shares beneficially owned indirectly in the Brady T. Burt Managing Agency Account. The information in this report is based on a plan statement dated as of December 31, 2023.
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, 2024.
/s/ Brady T. Burt
2024-02-13