-----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, OEvduUGrKB3OZoCP2au/I5IYn51ZqvR3NdZ3Ilg9ZqkVvkbE4Q9DpP11IGYe65Yp cwA20pIL34k8g5sJcytXBQ== 0001209191-05-002238.txt : 20050107 0001209191-05-002238.hdr.sgml : 20050107 20050107114524 ACCESSION NUMBER: 0001209191-05-002238 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: CULLERS JAMES J CENTRAL INDEX KEY: 0001201378 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05517425 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 0001201378 CULLERS JAMES J 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2004-11-17 5 J 0 180 D 830 D Common Stock 2004-12-31 5 J 0 34.445 A 723.3454 I Alice, spouse, IRA Common Stock 2004-12-31 5 J 0 207.293 A 4353.1574 I Trust-J.Cullers Profit Sharing Common Stock 2004-12-31 5 J 0 0.6356 A 13.347 I Spouse-Zoe-gr. daughter Common Stock 2004-12-31 5 J 0 0.6356 A 13.347 I Spouse-Emily-gr. daughter Common Stock 2004-11-17 5 Z 0 180 A 1293.3626 I James J. Cullers DRIP Common Stock 2004-12-31 5 J 0 106.1681 A 1399.5307 I James J. Cullers DRIP Common Stock 2004-12-31 5 J 0 3.174 A 66.6543 I Custodial(A)Hanna-gr.daughter Common Stock 2004-12-31 5 J 0 3.0693 A 64.4549 I Custodial(C)Alison-gr. daughter Common Stock 2004-12-31 5 J 0 1.8929 A 39.7501 I Spouse-Cust.(A)Sophia-gr. daughter Common Stock 2004-12-31 5 J 0 1.8929 A 39.7501 I Spouse-Cust.(B)Leah-gr. daughter Common Stock 2004-12-31 5 J 0 3.0804 A 64.6887 I Custodial(B)Maria-gr. daughter Stock Option 35.58 1996-03-27 2006-03-27 Common Stock 684 684 D Transfer from Direct holdings into DRIP account - no change in holdings. A 5% Stock Dividend was distributed on 12/15/04. David L. Trautman, by Power of Attorney for James J. Cullers 2005-01-07 -----END PRIVACY-ENHANCED MESSAGE-----