-----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, GqnA7ZIfpkwgjiHeKqbNF0MHwPAwZtRWdKcKLzPLuv/nmianaG8W9zTza9NIrfkm rXWy7PvHSKAJALorsP9HBQ== 0001209191-05-002242.txt : 20050107 0001209191-05-002242.hdr.sgml : 20050107 20050107120525 ACCESSION NUMBER: 0001209191-05-002242 CONFORMED SUBMISSION TYPE: 4/A 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: DELAWDER DAN CENTRAL INDEX KEY: 0001201379 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05517491 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0202 4/A 2004-12-31 2005-01-03 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001201379 DELAWDER DAN 50 NORTH THIRD STREET NEWARK OH 43055 1 1 0 0 President and CEO Common Stock 2004-12-31 4 J 0 2464 A 51754 D Common Stock 2004-12-31 4 J 0 1983 A 41648 I Diane S., spouse Common Stock 2004-12-31 4 J 0 431.7689 A 9061.1437 I KSOP Common Stock 2004-12-31 4 P 0 150 135.50 A 1798 I Matt, son Common Stock 2004-12-31 4 J 0 141.43 A 440.7945 I Matt, DRIP Stock Option 79.40 2001-01-22 2006-01-22 Common Stock 1259 1259 D Stock Option 84.29 2002-01-01 2006-06-25 Common Stock 1134 1134 D Stock Option 87.76 2003-01-01 2007-06-06 Common Stock 1139 1139 D Stock Option 90.48 2000-05-01 2005-05-01 Common Stock 533 533 D Stock Option 93.24 2002-05-10 2007-05-10 Common Stock 47 47 D Stock Option 107.62 2004-02-28 2009-02-28 Common Stock 928 928 D A 5% Stock Dividend was distributed on 12/15/04. To correct the total amount in KSOP as of 12/31/04. C. Daniel DeLawder 2005-01-07 -----END PRIVACY-ENHANCED MESSAGE-----