-----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, MkSij27iV7d17vDi/b3xJCf4foJMz7ka4T5p08fCPTAWFNuB48Wvi+JC70eX2Yo0 7eZ8odk55+j+0VwAorH3xA== 0001209191-09-001970.txt : 20090107 0001209191-09-001970.hdr.sgml : 20090107 20090107091012 ACCESSION NUMBER: 0001209191-09-001970 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081231 FILED AS OF DATE: 20090107 DATE AS OF CHANGE: 20090107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZAK JOHN W CENTRAL INDEX KEY: 0001221815 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 09511983 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 5 1 doc5.xml FORM 5 SUBMISSION X0303 5 2008-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001221815 KOZAK JOHN W 50 NORTH THIRD STREET NEWARK OH 43055 1 1 0 0 Chief Financial Officer Common Stock 24286 D Common Stock 4166.362 I KSOP Stock Option 97.52 2003-05-09 2008-05-09 Common Stock 0 0 D Stock Option 109.52 2004-05-06 2009-05-06 Common Stock 912 912 D Stock Option 107.85 2005-06-21 2010-06-21 Common Stock 900 900 D Transfer of total shares in the DRIP account to the Direct account KSOP update Expiration of option David L. Trautman, by Power of Attorney for John W. Kozak 2009-01-06 -----END PRIVACY-ENHANCED MESSAGE-----