-----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, L0L8eLRMbrQQSi219aT2KuJBjnmAZC9xj/vCVtP+e1sDe8NFQ5T7KJW7epu3UwRk yhdTqqyDKiWM79RgqC1LpQ== 0001209191-05-004095.txt : 20050121 0001209191-05-004095.hdr.sgml : 20050121 20050121142150 ACCESSION NUMBER: 0001209191-05-004095 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050121 DATE AS OF CHANGE: 20050121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAYLOR RICK CENTRAL INDEX KEY: 0001201392 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05541097 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/A 1 doc5a.xml FORM 5/A SUBMISSION X0202 5/A 2004-12-31 2005-01-06 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001201392 TAYLOR RICK 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2004-12-31 5 Z 0 180 A 2733 I Rick Taylor Agency Trust Common Stock 2004-12-31 5 J 0 136 A 2869 I Rick Taylor Agency Trust Common Stock 2004-12-31 5 J 0 180 D 0 D Transfer of shares from direct holdings into Agency Trust Acct. No change in holdings. A 5% Stock Dividend was distributed on 12/15/04. Amended to reflect an additional 9 shares received due to PRK's 5% dividend. David L. Trautman, by Power of Attorney for Rick R. Taylor 2005-01-21 -----END PRIVACY-ENHANCED MESSAGE-----