-----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, UkpXPcoq1aesSRNvq8QrC4UKYDfMw13GkoZsSBzedx9BCP0k7+avYtg4fOWRojsR j0Hik7z14n0PnaElZRm5WA== 0001209191-05-002218.txt : 20050107 0001209191-05-002218.hdr.sgml : 20050107 20050107093308 ACCESSION NUMBER: 0001209191-05-002218 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050107 DATE AS OF CHANGE: 20050107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PHILLIPS WILLIAM A CENTRAL INDEX KEY: 0001201389 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05517033 BUSINESS ADDRESS: STREET 1: PARK NATIONAL CORP. STREET 2: 50 NORTH THIRD STREET CITY: NEWARK STATE: OH ZIP: 43058-3500 FORMER NAME: FORMER CONFORMED NAME: PHILLIPS BILL DATE OF NAME CHANGE: 20021025 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 0001201389 PHILLIPS WILLIAM A 50 NORTH THIRD STREET NEWARK OH 43055 1 1 0 0 Chairman Century National Bank Common Stock 2004-12-31 5 J 0 188 A 3951 D Common Stock 2004-12-31 5 J 0 205.4889 A 1812.0882 I KSOP Common Stock 2004-12-31 5 J 0 71 A 1491 I IRA Common Stock Joint 2004-12-31 5 J 0 183 A 3858 I Sharon, spouse A 5% Stock Dividend was distributed on 12/15/04. David L. Trautman, by Power of Attorney for William J. Phillips 2005-01-07 -----END PRIVACY-ENHANCED MESSAGE-----