0000805676-24-000027.txt : 20240213
0000805676-24-000027.hdr.sgml : 20240213
20240213145905
ACCESSION NUMBER: 0000805676-24-000027
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: Herreman Kelly A
CENTRAL INDEX KEY: 0001702544
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13006
FILM NUMBER: 24624997
MAIL ADDRESS:
STREET 1: 50 N THIRD STREET
CITY: NEWARK
STATE: OH
ZIP: 43055
FORMER NAME:
FORMER CONFORMED NAME: Edds Kelly A
DATE OF NAME CHANGE: 20170330
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_1707854335.xml
FORM 5
X0508
5
2023-12-31
0
0
0
0000805676
PARK NATIONAL CORP /OH/
PRK
0001702544
Herreman Kelly A
50 N. THIRD STREET
NEWARK
OH
43055
0
1
0
0
Chief Accounting Officer
0
Common Shares
0
D
Common Shares
2435.9
I
KSOP
Common Shares
1259.711
I
Kelly Herreman Managing Agency Account
PBRSUs
Common Shares
337.5
337.5
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 0.007 common share of Park to reflect the correct total of common shares beneficially owned indirectly in the Kelly Herreman 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, Attorney-in-Fact for Kelly A. Herreman
2024-02-13