0000805676-18-000038.txt : 20180201 0000805676-18-000038.hdr.sgml : 20180201 20180201143236 ACCESSION NUMBER: 0000805676-18-000038 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: DELAWDER DAN CENTRAL INDEX KEY: 0001201379 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13006 FILM NUMBER: 18566387 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_151751354115957.xml FORM 5 X0306 5 2017-12-31 0 0 0 0000805676 PARK NATIONAL CORP /OH/ PRK 0001201379 DELAWDER DAN 50 N. THIRD STREET NEWARK OH 43055 1 1 0 0 Chairman of the Board Common Shares 55280 D Common Shares 50232 I Diane S., spouse Common Shares 924.825 I C. Daniel DeLawder Managing Agency Account Common Shares 22633.80 I KSOP PBRSUs Common Shares 1372.22 1372.22 D Includes an aggregate of 593.371 common shares of Park National Corporation ("Park") acquired by the reporting person within the Park National Corporation Employees Stock Ownership Plan (the "KSOP") since the most recent reportable transaction date of March 31, 2017 through the remainder of the fiscal year ended December 31, 2017. These performance-based restricted stock units ("PBRSUs") convert into Park common shares on a one-for-one basis upon satisfaction of a service-based vesting requirement pursuant to which they are to vest on March 31, 2018. /s/ C. Daniel DeLawder by Brady T. Burt, POA 2018-02-01