-----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, DobwNbJFtIkWLsOfR+ZmVM833o51gRh+HjKeIEsul6Oqw6MZaLI3Urz4+VLXjOQx LJL0jSJ3e6f38uXclP3Gng== 0001209191-05-006087.txt : 20050202 0001209191-05-006087.hdr.sgml : 20050202 20050202095123 ACCESSION NUMBER: 0001209191-05-006087 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050202 DATE AS OF CHANGE: 20050202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUCHWALD MAUREEN CENTRAL INDEX KEY: 0001201375 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05567559 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 2005-01-05 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001201375 BUCHWALD MAUREEN 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2005-01-05 5 J 0 131.8293 A 655.4145 I DRIP Common Stock 2005-01-05 5 J 0 20 A 420 I Jt. w/husband James Common Stock Joint 2005-01-05 5 J 0 80 A 1680 D Common Stock 2113 D Stock Option 31.47 1995-03-29 2005-03-29 Common Stock 652 0 D Stock Option 35.58 1996-03-27 2006-03-27 Common Stock 651 0 D A 5% Stock Dividend was distributed on 12/15/04. To correct number of securities reported in Table II Derivative Securities David L. Trautman, by Power of Attorney for Maureen Buchwald 2005-02-02 -----END PRIVACY-ENHANCED MESSAGE-----