0001209191-12-003039.txt : 20120110 0001209191-12-003039.hdr.sgml : 20120110 20120110150508 ACCESSION NUMBER: 0001209191-12-003039 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: CULLERS JAMES J CENTRAL INDEX KEY: 0001201378 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 12519916 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 0001201378 CULLERS JAMES J 50 NORTH THIRD STREET NEWARK OH 43055 1 0 0 0 Common Stock 2011-12-21 5 G 0 100 D 3749 D Common Stock 2011-12-31 5 J 0 62.7215 A 1045.3608 I Alice, spouse, IRA Raymond James Common Stock 2011-12-21 5 G 0 50 A 68.1039 I Spouse-Zoe-gr. daughter Common Stock 2011-12-31 5 J 0 1.1764 A 69.2803 I Spouse-Zoe-gr. daughter Common Stock 2011-12-21 5 G 0 50 A 68.1039 I Spouse-Emily-gr. daughter Common Stock 2011-12-31 5 J 0 1.1764 A 69.2803 I Spouse-Emily-gr. daughter Common Stock 2011-12-31 5 J 0 5.6816 A 93.1113 I Custodial(C)Alison-gr. daughter Common Stock 2011-12-31 5 J 0 3.5039 A 57.4226 I Spouse-Cust.(A)Sophia-gr. daughter Common Stock 2011-12-31 5 J 0 3.5039 A 57.4226 I Spouse-Cust.(B)Leah-gr. daughter Common Stock 4000 I Trust-J.Cullers Profit Sharing 100 shares from directly held shares were gifted to two granddaughters' accounts - 50 shares to each. DRIP Update James J. Cullers by David L. Trautman, POA 2012-01-10