-----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, EUY7MTIFp6nkhF5wJQNo1Ki2p36ybZPATb+3wsgg4cSK+ja0PJoU91GNRnBICVmX Ie6Hg44lGN4O3herdznGYA== 0001209191-05-025726.txt : 20050513 0001209191-05-025726.hdr.sgml : 20050513 20050513100215 ACCESSION NUMBER: 0001209191-05-025726 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050512 FILED AS OF DATE: 20050513 DATE AS OF CHANGE: 20050513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZAK JOHN W CENTRAL INDEX KEY: 0001221815 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 05826656 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET STREET 2: PO BOX 3500 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 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-05-12 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001221815 KOZAK JOHN W 50 NORTH THIRD STREET NEWARK OH 43055 0 1 0 0 Chief Financial Officer Common Stock 2005-05-12 4 M 0 1264 79.05 A 21490 D Common Stock 2757.0972 I KSOP Common Stock 1573.1893 I DRIP Stock Option 79.05 2005-05-12 4 M 0 1264 79.05 D 2000-05-22 2005-05-22 Common Stock 1264 0 D Stock Option 84.29 2002-01-01 2006-06-25 Common Stock 1155 1155 D Stock Option 87.76 2003-01-01 2007-06-06 Common Stock 1139 1139 D Stock Option 97.52 2003-05-09 2008-05-09 Common Stock 565 565 D Stock Option 109.52 2004-05-06 2009-05-06 Common Stock 912 912 D C. Daniel DeLawder, by Power of Attorney for John W. Kozak 2005-05-13 -----END PRIVACY-ENHANCED MESSAGE-----