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