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