-----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, CLGnrcGcfskvlZ2fKdu1jFSwM6iS4OeIhhtLZxIBjoBv9tvhLOBH/IHphUPDGN7t xmct/shlh/dofQn1InKJCA== 0001209191-05-002221.txt : 20050107 0001209191-05-002221.hdr.sgml : 20050107 20050107095822 ACCESSION NUMBER: 0001209191-05-002221 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: MCCONNELL WILLIAM T CENTRAL INDEX KEY: 0001201385 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05517081 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 0001201385 MCCONNELL WILLIAM T 50 NORTH THIRD STREET NEWARK OH 43055 1 1 0 0 Chairman Common Stock 2004-12-31 5 J 0 5164 A 108444 D Common Stock 2004-12-31 5 J 0 808 A 16978 I Wm. T. McConnell Irrevocable Trust Common Stock 2004-12-31 5 J 0 3522 A 73966 I Jane C., spouse Common Stock 2004-12-31 5 J 0 283.664 A 5243.9092 I KSOP A 5% Stock Dividend was distributed on 12/15/04. David L. Trautman, by Power of Attorney for William T. McConnell 2005-01-07 -----END PRIVACY-ENHANCED MESSAGE-----