-----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, WYJMFX+wpcGoPxcyUdryyr1ie+L9ol96Qp0bTFr8FYDsdS7zKjENW7tLyupHO98r h31Q5w+ihjY2tSVb1Xf25w== 0001209191-10-002301.txt : 20100107 0001209191-10-002301.hdr.sgml : 20100107 20100107153831 ACCESSION NUMBER: 0001209191-10-002301 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100107 DATE AS OF CHANGE: 20100107 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: 10514832 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 2009-12-31 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 2009-12-31 5 J 0 698.25 A 4864.612 I KSOP Common Stock 24286 D Stock Option 107.85 2005-06-21 2010-06-21 Common Stock 900 900 D KSOP update David L. Trautman, by Power of Attorney for John W. Kozak 2010-01-07 -----END PRIVACY-ENHANCED MESSAGE-----