-----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, BtroI99+18B1DL7nX1VgBHDRJmQ/whKZdqDmOFp/RmkKv7HlOj/Ivq+yWdosUeFH YdiE2wr92gONVfltUaAoYA== 0001209191-05-002139.txt : 20050106 0001209191-05-002139.hdr.sgml : 20050106 20050106155312 ACCESSION NUMBER: 0001209191-05-002139 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050106 DATE AS OF CHANGE: 20050106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZAZWORSKY LEON CENTRAL INDEX KEY: 0001267119 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05515777 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET STREET 2: PO BOX 3500 CITY: NEWARK STATE: OH ZIP: 43058-3500 FORMER NAME: FORMER CONFORMED NAME: ZAZWORSKY LEE DATE OF NAME CHANGE: 20031015 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 0001267119 ZAZWORSKY LEON 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2004-12-31 5 J 0 315 A 6632 I UBS Account Common Stock 2004-12-31 5 J 0 17 A 357 D Common Stock 2004-12-31 5 J 0 2 A 52 I Ameritrade A 5% Stock Dividend was distributed on 12/15/04. David L. Trautman, by Power of Attorney for Leon Zazworsky 2005-01-06 -----END PRIVACY-ENHANCED MESSAGE-----