-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NM9VqcGBFKpFu5um15yvNb4myYLTh7CqC4CLzNjhAdVTFhvO7h1qhQRqBhJtnZ5G /+63C6Qp/qHmqBySs188rA== 0001209191-04-051630.txt : 20041108 0001209191-04-051630.hdr.sgml : 20041108 20041108141038 ACCESSION NUMBER: 0001209191-04-051630 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041105 FILED AS OF DATE: 20041108 DATE AS OF CHANGE: 20041108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CULLERS JAMES J CENTRAL INDEX KEY: 0001201378 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 041125189 BUSINESS ADDRESS: STREET 1: PARK NATIONAL CORP. STREET 2: 50 NORTH THIRD STREET 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] 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 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-11-05 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001201378 CULLERS JAMES J 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2004-11-05 4 A 0 180 134.80 A 1010 D Common Stock 688.9004 I Alice, spouse, IRA Common Stock 4145.8644 I Trust-J.Cullers Profit Sharing Common Stock 12.7114 I Spouse-Zoe-gr. daughter Common Stock 12.7114 I Spouse-Emily-gr. daughter Common Stock 1113.3626 I James J. Cullers DRIP Common Stock 63.4803 I Custodial(A)Hanna-gr.daughter Common Stock 61.6083 I Custodial(B)Maria-gr. daughter Common Stock 61.3856 I Custodial(C)Alison-gr. daughter Common Stock 37.8572 I Spouse-Cust.(A)Sophia-gr. daughter Common Stock 37.8572 I Spouse-Cust.(B)Leah-gr. daughter Stock Option 37.36 1996-03-27 2006-03-27 Common Stock 651 651 D David L. Trautman, by Power of Attorney for James J. Cullers 2004-11-08 -----END PRIVACY-ENHANCED MESSAGE-----