0001209191-12-005398.txt : 20120126 0001209191-12-005398.hdr.sgml : 20120126 20120126125609 ACCESSION NUMBER: 0001209191-12-005398 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120126 DATE AS OF CHANGE: 20120126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McLain Timothy S. CENTRAL INDEX KEY: 0001479568 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 12546762 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 0001479568 McLain Timothy S. 50 NORTH THIRD ST PO BOX 3500 NEWARK OH 43058-3500 1 0 0 0 Common Stock 2011-10-27 5 J 0 180 A 2000 I Raymond James & Associates JTWROS Debbie J. McLain Common Stock 2011-10-27 5 J 0 180 D 0 D Transfer of shares from directly held to Raymond James & Associates JTWROS Debbie J. McLain Timothy S. McLain, by David L. Trautman P.O.A. 2012-01-26