-----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, Jt+cX4NlXCHoglit7iumtJCtG0lbS7kNk2ukOtZa8mbsNZiO1uV/0oM96jXDk5o5 wCp7tuOC+oJzQKa0vbtqWw== 0001209191-11-006045.txt : 20110201 0001209191-11-006045.hdr.sgml : 20110201 20110201162701 ACCESSION NUMBER: 0001209191-11-006045 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101231 FILED AS OF DATE: 20110201 DATE AS OF CHANGE: 20110201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burt Brady T CENTRAL INDEX KEY: 0001330808 FILING VALUES: FORM TYPE: 5/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 11563475 MAIL ADDRESS: STREET 1: 0015 BENCHMARK ROAD, SUITE 300 STREET 2: P.O. BOX 6580 CITY: AVON STATE: CO ZIP: 81620 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 X0303 5/A 2010-12-31 2011-01-04 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001330808 Burt Brady T 50 N. THIRD STREET NEWARK OH 43055 0 1 0 0 Chief Accounting Officer Common Stock 1950.501 I KSOP Stock Option 74.96 2007-12-07 2012-12-07 Common Stock 400 400 D Between 1/1/10 and 12/31/10, the Reporting Person acquired 391.336 common shares under the Park National Corp. Employees Stock Ownership Plan (the "KSOP") through Section 401(k) Contributions and Employer Matching Contributions. Between 8/23/07 and 12/31/07 the reporting person acquired 764.72 common shares under the KSOP, reflecting Rollover Contributions, which were reported in the Form 5 filing for year end 12/31/07. No Form 5 was filed for year end 12/31/08 as there were no other transactions for the year. The Form 5 filed for year end 12/31/09 inadvertently omitted the shares from the previous rollover and the reduction in common shares held under the KSOP as a result of the partial refund required to satisfy compliance tests applicable to the KSOP. This amendment of the Form 5 filed 1/4/11 corrects these errors. David L. Trautman, by Power of Attorney for Brady T. Burt 2011-02-01 -----END PRIVACY-ENHANCED MESSAGE-----