0000805676-18-000029.txt : 20180201
0000805676-18-000029.hdr.sgml : 20180201
20180201090056
ACCESSION NUMBER: 0000805676-18-000029
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180201
DATE AS OF CHANGE: 20180201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kambeitz Stephen J.
CENTRAL INDEX KEY: 0001479567
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13006
FILM NUMBER: 18564840
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
5
1
wf-form5_151749364202515.xml
FORM 5
X0306
5
2017-12-31
0
0
0
0000805676
PARK NATIONAL CORP /OH/
PRK
0001479567
Kambeitz Stephen J.
50 N. THIRD STREET
NEWARK
OH
43058-3500
1
0
0
0
Common Shares
0
D
Common Shares
2508
I
Raymond James Account - Stephen J Kambeitz
Common Shares
250
I
Raymond James Retirement Account - Stephen J Kambeitz IRA
Reflects that 450 common shares of Park National Corporation, previously owned directly, were transferred on October 30, 2017 to the reporting person's Raymond James Account and are now owned indirectly.
/s/ Stephen J. Kambeitz by Brady T. Burt, POA
2018-01-31