0001209191-12-002929.txt : 20120110
0001209191-12-002929.hdr.sgml : 20120110
20120110105749
ACCESSION NUMBER: 0001209191-12-002929
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111231
FILED AS OF DATE: 20120110
DATE AS OF CHANGE: 20120110
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: 12519056
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
X0304
5
2011-12-31
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
2011-12-31
5
J
0
740.445
A
6283.779
I
KSOP
Common Stock
24286
D
KSOP Update
John W. Kozak by David L. Trautman, POA
2012-01-10