0001209191-11-052174.txt : 20111019 0001209191-11-052174.hdr.sgml : 20111019 20111019152627 ACCESSION NUMBER: 0001209191-11-052174 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: Wallace Sarah CENTRAL INDEX KEY: 0001461877 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 111148012 MAIL ADDRESS: STREET 1: 50 NORTH THIRD STREET CITY: NEWARK STATE: OH ZIP: 43055 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 0001461877 Wallace Sarah 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2011-10-17 4 A 0 180 55.37 A 540 D Common Stock 294.0859 I DRIP Common Stock 2349 I Sarah R. Wallace Grantor Trust Common Stock 525 I By Self as Trustee for Managing Agency Account for benefit of immediate family member Common Stock 525 I By Self as Trustee for Managing Agency Account for benefit of immediate family member Common Stock 525 I By Self as Trustee for Managing Agency Account for benefit of immediate family member 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. Sarah R. Wallace by David L. Trautman, P.O.A. 2011-10-19