0001209191-11-052159.txt : 20111019 0001209191-11-052159.hdr.sgml : 20111019 20111019133211 ACCESSION NUMBER: 0001209191-11-052159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111017 FILED AS OF DATE: 20111019 DATE AS OF CHANGE: 20111019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kambeitz Stephen J. CENTRAL INDEX KEY: 0001479567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 111147702 MAIL ADDRESS: STREET 1: 50 NORTH THIRD ST., 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 X0304 4 2011-10-17 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001479567 Kambeitz Stephen J. 50 NORTH THIRD ST PO BOX 3500 NEWARK OH 43058-3500 1 0 0 0 Common Stock 2011-10-17 4 A 0 180 55.37 A 360 D Common Stock 118 I Fifth Third Securities Account Common Stock 250 I UBS Retirement Account - Stephen J Kambeitz IRA Common shares were awarded automatically pursuant to and in accordance with the terms of the Park National Corporation Stock Plan for Non-Employee Directors of Park National Corporation and Subsidiaries. Stephen J. Kambeitz by David L. Trautman, P.O.A. 2011-10-19