-----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, AjeRd3sAzpB5fBSX1AsbgRcLZA/L+Efajk9S+smxCmohJOTOCYmkkWwvluZLEqNZ KH+nLmI8odHNAvzr9l+0rw== 0001209191-05-001582.txt : 20050105 0001209191-05-001582.hdr.sgml : 20050105 20050105134930 ACCESSION NUMBER: 0001209191-05-001582 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050105 DATE AS OF CHANGE: 20050105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GEYER R WILLIAM CENTRAL INDEX KEY: 0001201382 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05511662 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 5 1 doc5.xml FORM 5 SUBMISSION X0202 5 2004-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001201382 GEYER R WILLIAM 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2004-12-31 5 J 0 122 A 2566 D Common Stock 2004-12-31 5 J 0 30 A 643 I Spouse Common Stock 2004-12-31 5 J 0 166 A 3501 I IRA A 5% Stock Dividend was distributed on 12/15/04. David L. Trautman, by Power of Attorney for R. William Geyer 2005-01-05 -----END PRIVACY-ENHANCED MESSAGE-----